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Paramedics and EMTs tax write-offs

Varies

What Can Paramedics and EMTs Write Off?

Short answer: Employed EMTs can't deduct boots or recertification federally; 1099 event medics deduct gear, NREMT renewal, and mileage.

W-2 employees can't deduct unreimbursed job expenses on a federal return through at least 2026 (the miscellaneous itemized deduction is gone); ask your employer for an accountable-plan reimbursement instead.

Records to keep: Keep receipts, 1099s or W-2s, a mileage log, and a note of the business purpose for each expense.