Documents, Forms & Downloads

Training Program Administration Manual (TPAM)

The current version of the Training Program Administration Manual went into effect beginning July 1, 2022.

• Training Program Administration Manual (TPAM)

Required Paperwork for Initial Certification Programs

The current version of first and last class paperwork packets for initial certification programs in the Commonwealth can be found below.  The ACE Division staff have provided these guidance documents for Education Coordinators to use when conducting initial certification programs.  The packets below ARE NOT designed to be photocopied and handed out to students.  Instead, these documents are meant to be used as a tool when you develop your own first and last class paperwork which is specific to your program--the only caveat being that all referenced state forms MUST be included in your packets.

Basic Life Support Paperwork

• First Class Paperwork
  • BLS First Night Paperwork - Electronic Signature Enabled eForm
• Last Class Paperwork
  • BLS Last Night Paperwork - Remote Learning Electronic Signature Enabled

Advanced Life Support Paperwork

• First Class Paperwork
  • ALS First Night Paperwork - Remote Learning Electronic Signature Enabled
• Last Class Paperwork
  • ALS Last Night Paperwork - Remote Learning Electronic Signature Enabled

All forms are in Adobe PDF format, unless otherwise specified.

• • TR-05 - Clinical Training Record 
  • TR-05A Patient Assessment Form
  • TR-06 - Course Roster
  • TR-07 - Informed Parental Consent for BLS Students
  • TR-09 – BLS Student Signatures
  • TR-10 – ALS Student Signatures
  • TR-11C – Certification Testing - BLS Programs
  • TR-12 – Certification Testing - ALS Programs 
  • TR-13 - Pearson VUE Testing Procedure
  • TR-14A – ALS Functional Job Description 
  • TR-14B – BLS Functional Job Description 
  • TR-15B – National Registry Accommodation Policy 
  • TR-16 – BLS Course Expectations for Successful Completion 
  • TR-16A – ALS Course Expectations for Successful Completion 
  • TR-18 - VILT Program Course Schedule and Registration
  • TR-19 - Custom CE Program Outline
  • TR-20 - Virginia Psychomotor Exam Scenario Evaluation Form
  • TR-30 - Training Program / Instructor Complaint Form 
  • TR-31 - ALS Coordinator Application
  • TR-35 - Prerequisites for EMS Training Program, Criminal History and Standards of Conduct
  • TR-49 - Instructor/Course Evaluation Form 
  • TR-62 - Provider & Agency Data Request Form
  • TR-63 - FIPS Code Listing
  • Initial Program Site Visit Rubric - February 2023