Skip to content
Call Us Today!
866-454-9555
|
954-454-9599
|
info@floridainsurance.ws
Search for:
Homepage
Commercial
Commercial Property
Non-Emergency Medical Transp.
Condo Association
General Liability
Landlords Apartment
Gas Station
Commercial Auto
Commercial Flood
Personal
Home
Condo Unit
Exotic Auto
Hurricane
Medical Ins
Get Quote
Claim Center
About Us
Contact Us
Search for:
NEMT Insurance Quote
NEMT Insurance Quote
Admin
2024-06-12T16:48:44-04:00
"
*
" indicates required fields
Company Name
*
Address, City , Zip Code
*
Business Phone Number
*
Email Address
*
Radius of Operation
*
List name of ALL drivers and date of birth and driver's license number
*
List Year, Make, Model and VIN# of ALL vehicles and Value of each Vehicle
*
Any claims in the past 3 years?
*
Yes
No
Do you transport passengers on stretchers?
*
Yes
No
Do you transport disabled people?
*
Yes
No
Do you have surveillance camera installed in each vehicle?
*
Yes
No
Is ALL transportation provided on Pre-Scheduled Arrangement Pick-Up?
*
Yes
No
Do you check new drivers for: driving records, criminal background, offensive sexual background?
*
Yes
No
Do you mandate employees to take Passenger Service and Safety (P.A.A.S) Training Program?
*
Yes
No
Page load link