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Non Emergency Medical Transportation Insurance Quote

  1. Non Emergency Medical Transportation Insurance Quote
Non Emergency Medical Transportation Insurance QuoteGravity Certs2025-09-22T20:02:00-07:00

"*" indicates required fields

1Start
2Business
3Operations
4Vehicles
5Transportation
6Drivers
7Finish
This field is for validation purposes and should be left unchanged.
Business Owner's Name*
SMS Consent
MM slash DD slash YYYY

Business Information

Mailing Address*
Garaging Address*
Federal Filings Required?
State Filings Required?
Previous Insurance Cancelled or Non-Renewed
Is this a new Venture?*
Have you ever driven for or been associated with any transportation operation before?*

Radius of Operations

Total percent of all 4 radius options below must add up to 100%.

Time(s) of Service

Vehicle(s) Information

This section asks to enter all of your vehicles. You may add each vehicle individually, or alternately, if you already have a schedule of vehicles you may upload that instead.
I would like to
Vehicles List
VIN
Year
Make
Model
Value
 
Please ensure your schedule includes VIN, Year, Make, Model, and Value for each vehicle.
Drop files here or
Max. file size: 20 MB, Max. files: 3.
    Do drivers take vehicles home?
    Are the vehicles solely owned by the applicant?

    Transportation of Items

    Please indicate the extent to which you transport the following as a percentage of total mileage. (Skip if not applicable)
    Service Type
    % Non-Emergency
    % ADA Paratransit
    % Emergency
    % Special Needs
    % Other
    Service Provided
    % Curb to Curb
    % Door to Door
    % Door Through Door
    % Hand to Hand
    Service Arrangements
    % Pre-Scheduled
    % On-Demand
    % Fixed Route
    % Deviated Route
    Type of Transit
    % Wheelchair
    % Stretcher
    % Ambulatory

    Driver Information

    Please make sure to include yourself if you are a driver.
    I would like to
    Drivers List
    If you are a driver, remember include yourself. Date of Birth format must be MM/DD/YYYY.
    First Name
    Last Name
    License Number
    License State
    Date of Birth
    Hire Date
    Years Experience
     
    Please ensure your driver schedule includes First & Last name, Date of Birth, Drivers License Number & State, Hire Date, and Years Experience for each person.
    Drop files here or
    Max. file size: 20 MB, Max. files: 3.
      Are drivers considered independent?
      All the above information is accurate and true to the best of my knowledge.*
      Consent*
      Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
      Metro Risk Management Group

      Metro Risk Management Group

      2400 Herodian Way SE #220
      Smyrna, Georgia 30339
      Phone: 404-549-4594

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      DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

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