H003 EMT/Paramedic/Firefighter

Recruitment #CCT-H003-904505



CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be vaccinated against COVID-19 as a condition of employment.  For details on how it is applicable to your employment, please click here.

Please be sure to read this entire job announcement before completing an application.

Description of Position

This is a deep classification encompassing three levels: Level I EMT; Level II Paramedic and Level III Firefighter Paramedic. Depending on the level in the deep class, incumbents may perform basic life support duties on an ambulance (Level I EMT); perform advanced life support duties on an ambulance (Level II Paramedic); or respond to fire alarms engaging in firefighting activities and performing advanced life support duties (Level III Firefighter Paramedic).


The list established from this selection process may be used by the Fire Department to fill vacancies at Level I and Level II.


Detailed descriptions for Levels I and II are below. The descriptions are cumulative in that each Level II may be required to perform the duties defined in Level I.


Level I - EMT

Under general supervision, responds to medical and other emergencies and engages in life support and life-saving activities; performs emergency medical service (EMS); maintains equipment; staffs and drives an ambulance to provide initial emergency medical care in a pre-hospital setting; evaluates and administers advanced first aid, basic life support and life maintenance measures in accordance with Emergency Medical Service Agency (EMSA) policies and procedures, including CPR, definitive therapeutic care at the scene of an emergency or during transport of persons; provide community health screening and other non-emergency health services;  protects the privacy of patients treated by SFFD, safeguards patient information and uses and discloses patient information in accordance with the federal Health Insurance Portability and Accountability Act (HIPAA) and the privacy practices of SFFD; may perform duties of either driving ambulances, EMT attendant and other related duties as assigned. Works a 40-hour week, including days, evenings, nights, weekends and holidays; shift to be determined by operational requirements. Incumbents must maintain superior physical strength, agility and stamina to carry out the intense physical duties of the position.


Level II - Paramedic

In addition to the above, required to provide advanced emergency medical care to victims of fire and activities for saving lives and property, including medical scene size-up, establishing medical command post, reporting to incident commander or EMS Captain and implementing medical Incident Command System (ICS); supports rescue activities in a variety of situations; renders first aid, treatment for shock, cardiac compression, resuscitation, and prevention of blood loss; responds to trauma or medical emergencies; performs primary and secondary evaluation of patients to assess conditions, triages in major disasters; administers proper procedural emergency treatment; institutes emergency care and/or advanced life support to stabilize patient conditions, including cardiac pulmonary resuscitation, defibrillation, drug administration, invasive procedures and definitive therapy; as part of EMS response, conducts hazard assessment of residences, places of business, public assemblage, schools, and hospitals to ensure compliance with fire codes, ordinances, laws and regulations, and refers potential hazards/violations to appropriate Fire Department division; participates in training and physical fitness programs as required.

Minimum Qualifications

This selection process is open to individuals meeting at least all of the minimum qualifications listed for Level I below at the time of application filing. Individuals who meet minimum qualifications for Levels II and III may be considered by the Department at those levels.


H003 Basic Minimum Qualifications: (All levels)

1. A high school diploma or an equivalency certificate (e.g., G.E.D., California High School Proficiency Certificate).

2. Minimum 19 years of age at time of application and 20 years of age at time of appointment.


Additional Minimum Qualifications for Level I:

1. Possession of a current and valid California Emergency Medical Technician (EMT) Certification issued by the State of California [required by the application filing deadline] and the ability to accredit with the local EMS Authority [required prior to appointment].

2. Possession and maintenance of valid Class A, B, or C California Driver License with Ambulance Driver certificate / endorsement.

3. Any combination of 500 hours of verifiable work experience as an EMT (on an ambulance or first responder vehicle) or hours of documented ambulance ride-along as a member of the San Francisco Fire Reserves within the last three years, at the time of application filing;


Any combination of 1,000 hours of verifiable work experience as an EMT (on an ambulance or first responder vehicle) or hours of documented ambulance ride-along as a member of the San Francisco Fire Reserves within the last five years, at the time of application filing.


Additional Minimum qualifications for Consideration at Level II:

  1.  Possession and maintenance of a valid California Emergency Medical Technician Paramedic (Paramedic) license issued by the State of California and the ability to accredit with local EMS Agency.
  2. Possession and maintenance of valid Class A, B, or C California Driver License with Ambulance Driver certificate / endorsement.
  3. 1,000 hours verifiable work experience as a Paramedic (on an ambulance or first responder vehicle) within the last three years; OR 1,500 hours verifiable work experience as a Paramedic (on an ambulance or first responder vehicle) within the last five years at the time of application filing.

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.

  • Select the desired job announcement
  • Select “Apply” and read and acknowledge the information
  • Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
  • Follow instructions on the screen

Applicants will be contacted by email about this announcement and it is their responsibility to ensure that their registered email address is accurate and kept up-to-date. Applicants must ensure that email from CCSF is not blocked on their computer by a spam filter by setting up their email to accept mail from @sfgov.org.

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application.

Applications completed improperly may be cause for ineligibility or disqualification.

All applicants must complete the supplemental questionnaire. Applicants will be prompted to answer questions in the supplemental questionnaire in the online application process. All statements made on the application and supplemental questionnaire are subject to verification.

If you are having difficulty submitting your application online or if you have any question regarding this recruitment, please contact the examination analyst, Deana Kwan via email at Deana.Kwan@sfgov.org.



The following documents and verifications must be submitted if and when so requested by the Fire Department Background Investigation Unit: 

1. A copy of the respective current and valid certification

2. A copy of the respective current and valid California Driver License (with Ambulance Driver certificate for LI and LII)

3. Verification of experience. Acceptable verification would be a letter from an employer which specifies the applicant’s job title, duties, dates of employment and hours worked per week while working with that employer. Pay stubs may substitute for information regarding hours worked. However, all other information must be confirmed through an official letter from the employer and the letter must include the employer’s letterhead.

Candidates who do not submit the required verifications as requested will no longer be considered qualified or allowed to participate further in the selection process.


Applicants who are eligible for Veterans’ Preference must submit a copy of their Form DD214 or other acceptable documentation and a completed City and County of San Francisco Veteran’s Preference Application when the Skills Assessment test is administered. The City and County of San Francisco Veteran’s Preference Application may be found at http://sfdhr.org/veterans-preference.

Selection Plan

Supplemental Questionnaire

Applicants will be prompted to complete the Supplemental Questionnaire that must be submitted during the online application process. The Supplemental Questionnaire has five (5) questions where you will attest that you meet the minimum qualifications.


Qualified applicants will be notified by email of the exact dates, times, and locations of administrations of the written test. 


Written Test (100%): Candidates who are invited to participate in the selection process will take a pass/fail multiple-choice test to determine their relative knowledge in job-related areas, which may include, but are not limited to, procedures and practices in emergency medicine, and current EMT techniques in field and hospital settings. Candidates who pass the Written Examination will advance to subsequent components of the selection process. 



Candidate duration on the eligible list will be two years. A candidate must retake the written test thereafter to again be eligible.



The certification rule for the eligible list resulting from this selection process will be the Rule of the List. The Fire Department has the authority to hire any candidate named on the eligible list (“Rule of List”). Therefore, one’s placement on this list neither guarantees nor implies an offer of employment. Candidates who receive an offer of employment may waive the offer only two times. A third waiver of appointment renders candidates ineligible.  All candidates on the eligible list will be placed under administrative waiver until they successfully complete the Departmental Selection Process described below.


Department Selection Process

The Fire Department will contact eligibles to ascertain interest whenever there are vacancies to be filled in Levels I or II. Selections from the eligible list will be made by the Fire Chief or her or his designee. Criteria for selection may include the following:

  • Additional Certificates
  • Relevant work experience such as experience involving the performance of EMT or paramedic duties associated with medical transport for any employer within the City and County of San Francisco

Candidates who are selected will be invited to participate in selection components such as those listed below.


Skills Assessment: The Skills Assessment will require candidates to demonstrate their relative knowledge, skill, and ability in job-related areas, which may include, but are not limited to: Basic Life Support (BLS) procedures, practices and techniques; administration of first aid, basic life support and life saving measures; recognition of signs and symptoms and knowledge of appropriate treatment action for various medical conditions and situations.


Structured Oral Interview: The Structured Oral Interview will assess relative knowledge, skill, and ability in job-related areas, which may include, but are not limited to: current MCI standards and practice; common logistical issues; customer service; interpersonal skills; and verbal communication skills.


Chief’s Interview: The Chief’s Interview will be a “fit” interview including competencies such as problem solving, customer service, interpersonal skills, and verbal communication skills.


Physical Ability Test (Pass/Fail) [LI and LII]: Candidates must also complete and pass the San Francisco Fire Department physical ability test [PAT] for medics in order to be considered for hire. The test will consist of job task simulation components designed to measure a candidate’s ability to lift and carry 70 lbs. of equipment up and down six flights of stairs, drag a 165-pound dummy 15 feet, and unload/reload a 165 lb. stretcher in and out of an ambulance. Candidates on the eligible list will be placed under waiver until they have passed this PAT.


Applicants will be contacted by the Fire Department to submit verification regarding the above items prior to the Background Investigation.


Local Accreditation: Applicants who are extended conditional offers of employment will undergo County EMT accreditation from the San Francisco EMS Agency prior to their appointment to any SFFD Academy. The local accreditation will include an extensive background investigation by the San Francisco EMS Agency. Failure to pass the local accreditation process will result in the withdrawal of the conditional employment offer or removal from the respective SFFD Academy.

Driving Record: Applicants must not have been convicted of any of the following during the period from one year prior to application up to the date of appointment:  drunk driving; reckless driving; or hit and run with personal injury or property damage over $25.00. Applicants will be disqualified if any of the following occurred or is in effect at any time during the period from one year prior to application up to the date of appointment:  probation as a result of a driving‑related offense; license suspension or revocation; three moving violations in 12 months; or five moving violations in 24 months.


Federal Emergency Management Agency (FEMA) ICS Certificates: Applicants who are extended conditional offers of employment will be required to submit FEMA ICS 100, 200 and 700 Course Completion Certificates prior to the start of the Academy. These courses can be taken online at www.training.fema.gov/IS/


Medical Examination: Applicants will be required to pass a medical evaluation given by the Fire Department Physician. The medical examination will be administered only to those applicants who are likely to be selected for appointment to the San Francisco Fire Department H-3 Level 1 EMT Academy. The medical examination will include evaluation of vision, hearing, and general medical condition, and screening for drugs and alcohol. Applicants will be evaluated based on the Ambulance Driver Certificate requirements for medical examination. Applicants must meet the Department's height and weight ratio or body fat percentage through a body fat test in order to pass the medical examination.


All medical conditions will be evaluated individually to determine the applicant’s fitness for employment at the respective position -- Level 1, Level II, or Level III. Applicants who proceed to the Medical Examination will be required to complete a Medical History Statement. Any misrepresentation by an applicant on the Medical History Statement as determined by the Chief of the Fire Department will result in disqualification.


Vision Screening:  Applicants must have a visual acuity of at least 20/40 in each eye, either unaided or aided by spectacles or contact lenses. If spectacles, hard contact lenses, or non‑extended‑wear soft contact lenses are worn, uncorrected vision must be at least 20/100. If soft contact lenses that are approved for extended‑wear use are worn, there is no limitation on the uncorrected vision, provided the wearer has successfully worn extended‑wear soft contact lenses for at least six months. Applicants who wear extended‑wear soft contact lenses must have their contact lenses approved for extended‑wear use by an optometrist or ophthalmologist, licensed by the State of California, subject to verification by the Fire Department Physician. If subsequently hired, applicants who use extended‑wear soft contact lenses must wear them at all times while on duty. Applicants must have visual field performance without correction of 130 degrees in the horizontal meridian in each eye.


Probationary Period:

The probationary period shall be in the current MOU from completion of academy training. In order to pass probation, candidates must successfully complete the following:


· Field Evaluations by a Preceptor [LI and LII]

· End of Probation Medical Exam and Toxicology Screening


Candidates who fail to complete the above during the probationary period will be terminated.


Probationary employees may be released at any time by the appointing officer during this period. Use of time-off, paid or unpaid, such as military leave, personal leave, sick leave and vacation will extend the probationary period.



Maintenance of the following are conditions of continued employment:

  • EMS certification
  • Local EMSA accreditation
  • The respective valid California Driver License

Conviction History

As a selected candidate for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a selected candidate. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:

  • Candidates for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.
  • Candidates for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.

Having a conviction history does not automatically preclude you from a job with the City.

If you are a selected candidate, the hiring department will contact you to schedule a fingerprinting appointment.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker related training as assigned, and to return to work as ordered in the event of an emergency.


This announcement is issued in accordance with Civil Service Commission Rules, Volume III, Uniformed Ranks of the San Francisco Fire Department and the policies and procedures of the Department of Human Resources. These rules can be obtained at http://www.sfgov3.org/index.aspx?page=300. Copies of this information can also be obtained at 1 South Van Ness, 4th Floor, and San Francisco, CA 94103.


An applicant/eligible that changes his or her contact information [name, mailing address, phone, etc.] after having filed an application must promptly go to CCSF’s employment website: www.jobaps.com/sf. Click on the “Update My Contact Info” button located on the top of the page. Log in to your JobAps account by entering both your UserID & Password. Enter your new address/contact information. Click on the “Update Contact Information” button again [located at the very bottom of the page]. Failure to maintain current contact information may result in loss of eligibility.


Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by posting the correction on the Department of Human Resources website at www.jobaps.com/sf.

Requests for an alternate test date may be considered in limited circumstances and must be submitted to the analyst listed in this announcement within five (5) calendar days of the announcement of the test date.


Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at web URL: http://www.sfdhr.org/index.aspx?page=20#applicantswithdisabilities


Important employment information for the City and County of San Francisco can be obtained at http://www.sfdhr.org/index.aspx?page=20 or at 1 South Van Ness Avenue, 4th Floor.


Prior to appointment, eligible must complete and submit a “Conviction History Form”. Before appointment, selected eligible candidates must pass a thorough physical examination conducted by the Department Physician. This exam includes a urine test to screen for the presence of drugs or alcohol. Appointees must also pass an additional physical exam prior to the completion of their probationary periods.

The City and County of San Francisco’s Substance Abuse Policy, in compliance with the Department of Transportation Omnibus Transportation Employee Testing Act of 1991 employing the Federal Motor Carrier Safety Administration (FMCSA) and Federal Transit Administration (FTA) regulations, requires drug and alcohol testing for employees in “safety-sensitive” positions. Some H-20 Lieutenant positions qualify as “safety-sensitive” as defined by the FMCSA and FTA regulations. The selected applicants for safety-sensitive positions will be required to pass a drug test prior to appointment and shall be subject to Random, Post-Accident, Reasonable Suspicion, Return-To-Duty, and Follow-Up Testing during employment. Prior to appointment to an FMCSA position, each applicant who has participated in a DOT drug and alcohol testing program within the immediately preceding two years will be required to sign a consent form authorizing the City to contact his/her prior employers concerning his/her drug and alcohol test history.

After appointment to a permanent position, the employee must serve a probationary period during which the employee must demonstrate the ability to perform the work assigned to the position.


Exam Type: Entrance

Issued: 7/20/2021

Carol Isen

Human Resources Director

Department of Human Resources

Recruitment ID Number: 904505

DK 415-557-4882


All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

For more information about benefits, please click here.


Click on a link below to apply for this position:

Fill out the Supplemental Questionnaire and Application NOW using the Internet.
View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here.

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