Background

Job Description

Non-Emergency Medical Transport Driver (NEMT)

A Non-Emergency Medical Transport (NEMT) Driver safely transports patients to and from medical appointments who don’t require emergency care.

Company Overview

We are a dedicated transportation service specializing in non-emergency medical transport, ensuring safe and reliable transportation for our passengers living in San Bernardino County, Riverside County and in LA County.

Job Description

As a Non-Emergency Medical Transport Driver, you will be responsible for transporting passengers from location A to location B. This role is essential in supporting our clients and ensuring they have access to necessary medical appointments and services.

Key Responsibilities:

  • Transport passengers safely and efficiently to their destinations.
  • Start and end your day from home, with the company-provided vehicle parked at your residence.
  • Service multiple passengers throughout the day, with schedules varying based on routes and passenger needs.
  • Maintain flexibility in working hours, with a minimum of 6 to 7 hours per day, which may extend based on the daily route.
  • Ensure the vehicle is clean and well-maintained.

Schedule:

  • Daily schedules will vary, requiring flexibility in clock-in and clock-out times.

Compensation:

  • Starting salary: $16.50 - $17 per hour.
  • Payment will be made via direct deposit on a biweekly basis
  • At the end of the year, you will receive a W-2 form.
  • Company will provide the vehicle, maintenance and gas.

Requirements:

  • A valid driver's license and a clean driving record.
  • Ability to pass a background check and drug screening.
  • Strong communication and interpersonal skills.
  • Commitment to providing excellent customer service.

- If you believe you are a good fit for the position, we kindly request that you sent a copy of your driver's license and your DMV driving record.
- Once we have received this information, we will get back to you to schedule a video (call interview.)

Applicant Information


Previous Three Years Residency

Attach additional sheet if more space is needed

Street City State Zip Code # Of Years At Address
Current
Mailing
Previous
Previous
Previous
License Information

No person who operates a commercial motor vehicle shall at any time have more than one driver’s license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.

State License # Type/Class Endorsements Expiration Date
Previously Held Licenses
Driving experience
Service Type Of Equipment (Van, Tank, Flat, Etc.) Date From Date To Approx # Of Miles (Total)
Rideshare
NEMT
Ambulance
Paratransit
Other
Accident Record For The Past 3 Years

Attach additional sheet if more space is needed. Check this box if none

Dates (List Most Recent First) Nature Of Accident (Head-on, Rear-end, Upset, Etc.) # Fatalities # Injuries Fault Y/N
Traffic Convictions And Forfeitures For The Past 3 Years (Other Than Parking Violations)

Attach additional sheet if more space is needed. Check this box if none

Date Convicted (Month/Year) Violation State Of Violation Penalty (Forfeited Bond, Collateral And/Or Points)
Employment History

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.

Start with the last or current position, including any military experience, and work backwards(attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state,zip; and complete all other information.

Current (Most Recent) Employer
Name
Phone
Address
Position Held
From MO/YR
To MO/YR
Reason For Leaving
Salary
Explain any gaps in employment (include month/year & reason)
Second (Most Recent) Employer
Name
Phone
Address
Position Held
From MO/YR
To MO/YR
Reason For Leaving
Salary
Explain any gaps in employment (include month/year & reason)
Third (Most Recent) Employer
Name
Phone
Address
Position Held
From MO/YR
To MO/YR
Reason For Leaving
Salary
Explain any gaps in employment (include month/year & reason)
Education
School Name & Location Course Of Study Years Completed Graduate Y/N Details
High School
College
Other
Other Qualifications
To be Read and Signed by Applicant

I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company.

I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s)
will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand
that I have the right to:
• Review information provided by current/previous employers;
• Have errors in the information corrected by previous employers, and for those previous employers to resend the
corrected information to the prospective employer; and
• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot
agree on the accuracy of the information.

This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.

Applicant Signature Date
Applicant Name (printed)