Driver Application

Join our team of professional independent contractor drivers and help patients reach their medical appointments safely.

Personal Information

Please provide your contact details

First Name *

Last Name *

Email Address *

Phone Number *

Street Address *

City *

State *

ZIP Code *

Date of Birth *

Must be 21 years of age or older

Driver's License Information

Your valid Florida driver's license details

License Number *

Expiration Date *

License must not be expired

Vehicle Information

Your vehicle must be a sedan, 10 years old or newer

Vehicle Year *

Make *

Model *

Color *

Certifications

CPR and Defensive Driving certifications are required. Company can pay upfront with $15 deducted from first payment.

Do you have CPR Certification? *

Do you have Defensive Driving Certification? *

Experience & Availability

Tell us about your background and schedule

Relevant Experience (Transportation, Healthcare, etc.)

Your Availability *

Consents & Agreements

Please review and agree to the following requirements

I consent to a background check being performed by Ride Well Transportation L.L.C. I understand that a clean criminal and driving record is required. *

I consent to drug testing through Quest Diagnostics as part of the onboarding process. I understand this is a drug-free workplace. *

I understand this is an Independent Contractor (1099) position, not an employee position. I agree to comply with all company policies including HIPAA confidentiality, cell phone restrictions, and non-smoking policies. *

Eligibility Requirements

Valid Florida Driver's License
21 years of age or older
Vehicle 10 years old or newer
Willing to work as 1099 contractor
Consent to background check
Clean driving and criminal record

Required Certifications

CPR Certification

Required before driving. $15 deducted from first payment if company pays upfront.

Defensive Driving Course

Required before driving. $15 deducted from first payment if company pays upfront.

Required Documents

•Company Driver Application
•Confidentiality & Non-Compete Agreement
•Hold Harmless Agreement
•Cell Phone & Texting Restriction Agreement
•Non-Smoking Policy Agreement
•HIPAA Disclosure Form
•W-9 Form
•1099 Independent Contractor Agreement
•Motor Vehicle Record (MVR) Authorization

All documents will be provided after initial application review.

Vehicle Safety Kit

All vehicles must contain the following equipment:

•3 Safety Triangles
•1 Fire Extinguisher
•3 Vomit Bags
•1 Biohazard Bag
•1 First Aid Kit
•1 Seat Belt Cutter

Questions?