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  • NEMT Driver Application

    1099 Independent Contractor
  • Personal Information:

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  • Driver's License Information:

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  • Vehicle Information:

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  • Bank Information for Payment:

  • Agreement and acknowledgment:

  • By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am selected, my emgagement may be terminated at any time.  

    If selected, I understand, acknowledge, and agree to the below conditions:

    • I am a temporary independent contractor, not an employee of We All Care LLC.
    • I will provide NEMT services in accordance with all applicable laws and regulations.
    • My responsibilities include:
    1. Safely transporting Members to and from their medical appointments or other non-emergency medical services
    2. Adhering to all traffic laws and regulations, and employing defensive driving techniques
    3. Performing pre-trip inspections to ensure the vehicle is in safe operating condition
    4. Maintaining a clean, organized, and comfortable environment inside the vehicle
    5. Assisting Members with mobility issues, including operating wheelchair lifts or ramps and helping Members enter and exit the vehicle
    6. Communicating effectively and courteously with Members, addressing their needs and concerns
    7. Planning and navigating routes efficiently using the GPS system and any other available resources
    8. Collaborating with dispatch, promptly reporting any changes in schedule, delays, or issues that may impact Members
    9. Adhering to all company policies and procedures, including confidentiality, nondiscrimination, and drug and alcohol policies
    10. Participating in ongoing training and professional development opportunities

     

    • Compensation terms are as agreed upon, including rates and payment frequency.
    • I will handle all required documentation accurately and confidentially.
    • I understand that I may be subject to confidentiality and non-compete requirements.
     
     
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