{"id":15790,"date":"2020-04-28T15:18:42","date_gmt":"2020-04-28T19:18:42","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/emergency-medical-services\/?page_id=15790"},"modified":"2020-04-28T15:18:42","modified_gmt":"2020-04-28T19:18:42","slug":"ems-interstate-compact-replica-application","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/emergency-medical-services\/ems-interstate-compact-replica-application\/","title":{"rendered":"EMS Interstate Compact (REPLICA) Application"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_44' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">EMS Interstate Compact (REPLICA) Agency Application<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_44'  action='\/emergency-medical-services\/wp-json\/wp\/v2\/pages\/15790' data-formid='44' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_44' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_44_1\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_1'>Date of Application:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_1' id='input_44_1' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_44_1_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_44_1_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_44_1' class='gform_hidden' value='https:\/\/www.vdh.virginia.gov\/content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_44_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_2'>Agency Applying for EMS Interstate Compact (REPLICA) Staffing:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_44_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_4\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_4'>Agency OEMS License #:<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_44_4' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_10\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Agency Administrative Contact:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_44_10'>\n                            \n                            <span id='input_44_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.3' id='input_44_10_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_44_10_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_44_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.6' id='input_44_10_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_44_10_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_44_6\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_6'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_44_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_44_7\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_7'>Email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_44_7' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_44_11\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Requesting to utilize EMS Interstate Compact (REPLICA) providers from:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_44_11' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_44_11_1_container'>\n                                            <input type='number' maxlength='2' name='input_11[]' id='input_44_11_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_44_11_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_44_11_2_container'>\n                                            <input type='number' maxlength='2' name='input_11[]' id='input_44_11_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_44_11_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_44_11_3_container'>\n                                            <input type='number' maxlength='4' name='input_11[]' id='input_44_11_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_44_11_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_44_12\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >to<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_44_12' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_44_12_1_container'>\n                                            <input type='number' maxlength='2' name='input_12[]' id='input_44_12_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_44_12_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_44_12_2_container'>\n                                            <input type='number' maxlength='2' name='input_12[]' id='input_44_12_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_44_12_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_44_12_3_container'>\n                                            <input type='number' maxlength='4' name='input_12[]' id='input_44_12_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_44_12_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_44_27\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please note: If a provider is needed for more than 30 days, the applicant will have to apply for reciprocity through the Accreditation, Certification and Education (ACE) Division with the Virginia Office of EMS and receive a Virginia EMS certification. <\/li><li id=\"field_44_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">All fields must be completed for each EMS Interstate Compact (REPLICA) provider to be hosted.<\/h2><\/li><li id=\"field_44_26\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_26_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_26_col_2' class='gfield_list_col_even' \/><col id='gfield_list_26_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_26_col_4' class='gfield_list_col_even' \/><col id='gfield_list_26_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_26_col_6' class='gfield_list_col_even' \/><col id='gfield_list_26_col_7' class='gfield_list_col_odd' \/><col id='gfield_list_26_col_8' class='gfield_list_col_even' \/><col id='gfield_list_26_col_9' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">First Name<\/th><th scope=\"col\">Last Name<\/th><th scope=\"col\">Home State<\/th><th scope=\"col\">License #<\/th><th scope=\"col\">License Level<\/th><th scope=\"col\">License Expiration Date<\/th><th scope=\"col\">Contact Number<\/th><th scope=\"col\">*National EMS I.D. #<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_26_cell1' data-label='First Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='First Name, Row 1' data-aria-label-template='First Name, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_26_cell2' data-label='Last Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='Last Name, Row 1' data-aria-label-template='Last Name, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_26_cell3' data-label='Home State'><input aria-invalid='false' aria-required=\"true\"  aria-label='Home State, Row 1' data-aria-label-template='Home State, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_26_cell4' data-label='License #'><input aria-invalid='false' aria-required=\"true\"  aria-label='License #, Row 1' data-aria-label-template='License #, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_26_cell5' data-label='License Level'><input aria-invalid='false' aria-required=\"true\"  aria-label='License Level, Row 1' data-aria-label-template='License Level, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_26_cell6' data-label='License Expiration Date'><input aria-invalid='false' aria-required=\"true\"  aria-label='License Expiration Date, Row 1' data-aria-label-template='License Expiration Date, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_26_cell7' data-label='Contact Number'><input aria-invalid='false' aria-required=\"true\"  aria-label='Contact Number, Row 1' data-aria-label-template='Contact Number, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_26_cell8' data-label='*National EMS I.D. #'><input aria-invalid='false' aria-required=\"true\"  aria-label='*National EMS I.D. #, Row 1' data-aria-label-template='*National EMS I.D. #, Row {0}' type='text' name='input_26[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/www.vdh.virginia.gov\/content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/www.vdh.virginia.gov\/content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_44_36\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >* Your National EMS I.D. number is the 12-digit numerical number found on your National Registry account. 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