Safr Care

Cost effective

Automated dispatch of vehicles, and online tracking of trips save operating costs.

Efficient

Optimized scheduling of trips increases fleet efficiency, and improves customer experience.

Additional revenue

Trips requested from other hospitals on the platform help utilize free vehicles, and increase revenue.

Risk-free

Powerful technology streamlines operations, and accelerates growth at zero risk.

We are launching Safr Care to empower transport providers like you through increased revenue, improved efficiency, and reduced operating costs. Want an exclusive invite to use the Safr Care platform 100% risk-free at no cost for three months?

Vehicle availability (Please check all that apply.)

Ambulatory Stretcher Wheelchair Van

Part A: Company Contact Information

Which of the following best describes your company?

Private Not for Profit Taxi Transit Agency Human Services Agency Agency on Aging Faith Based Organization

Ownership Disclosure: Please list the names of any person(s) who are officers, general partners, or directors of the company, and anyone who holds greater than a 5% ownership share.

PART B: CREDENTIALING AND VERIFICATION OF LICENSURE

Insurance & Credentialing Information

Is Safr Technologies Inc named as an additional insured on the certificate? (REMINDER: NOT required to submit this application)

Insurance Information

Certificate of Insurance

Choose file

Vehicle Certification

I certify that I have read Section I (Vehicle Standards) of Circulation's Transportation Provider Performance Standards and that Company is in compliance with all vehicle requirements.

I agree

Driver Certification

I certify that I have read Section I (Driver Standards) of Circulation's Transportation Provider Performance Standards and that Company is in compliance with all vehicle requirements.

I agree

Other Business Licensure

Please list any other relevant state, local, or other business licensure or certifications you currently hold or intend to obtain in the next three months.

Other State / Local Certifications

Dispatch Communications

What type of 2-way communication system do you use to talk to your drivers?

2-way radio Flip-phone Smart phone Tablet

PART C: SERVICE AREA AND FLEET OPERATIONS

Company's Service Area

Are there any other states you may perform rides in now or in the future?

Transportation Services & Fleet's Available Capacity

Directions: For each vehicle type below, enter (1) the number of vehicles in your fleet and (2) the percent of trip capacity that you are able to make available to serve Safr Technologies Inc's rides.

For Example: if you have five sedan vehicles, but a minimum of half their time must be spent serving trips for a hospital contract you hold, then under "Sedan (non-taxi)" you would enter "5" as the "# of vehicles" but since only half their time is available for the trips you'd like from Safr Technologies Inc, then enter "50%" in the "% of Total..." field.

Sedan (non-taxi)

# of vehicles