Apply as an NEMT Partner

This is a company-level application for licensed NEMT businesses. We verify all licensing, insurance, and workers comp documentation before approval — typically within 24–48 hours.

Primary contact

Full name *

Title *

Email *

You'll use this to sign in.

Phone *

Password *

Min 8 characters

Confirm password *

Licensing & insurance

NEMT license number *

License state *

Insurance carrier *

Policy number *

Insurance expiration *

Coverage amount ($) *

Commercial auto liability — $1M minimum

Workers comp carrier *

Workers comp expiration *

Service area & fleet

Service areas *

Counties or zip ranges you cover, e.g. Dallas County, Tarrant County, 75001–75099

Total vehicles *

Wheelchair-accessible vehicles *

Enter 0 if none

Payout preference

Payment method *

Payout details *

We'll follow up securely for bank details — write 'will provide' here.

I am authorized to submit this application on behalf of the company, and the licensing and insurance information provided is accurate and current. I agree to the Provider Agreement including its non-solicitation provision. *

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Apply as an NEMT Partner

Company information

Primary contact

Licensing & insurance

Service area & fleet

Payout preference