Municipal EMTs work for emergency medical care agencies run and funded by municipalities or cities. They are subject to the EMT-Basic to EMT-Paramedic training requirements as all EMTs are, and they are the people who typically arrive at the scene of an accident first, along with members of other municipal departments such as police and firefighters.

The role of the Municipal EMT varies depending on their level of training. EMT-Basic workers are most often involved in assessment and management of people who require emergency medical care, while higher levels of training provide EMTs with the qualifications needed to carry out more specialized treatment procedures such as defibrillation or drug administration.

Municipal EMTs should have a good level of physical fitness, be strong, dexterous and agile, have good eyesight, and be able to work well under pressure. They should be able to think and react quickly in any medical emergency, and be able to apply their training in situations that may be stressful.