MyAmbulex LLC Driver Services Agreement
Effective Date: January 20, 2026
Company: MyAmbulex LLC
Address: 1441 Woodmont Lane NW, #749, Atlanta, GA 30318
Phone: (888) 874-7209
Email: support@MyAmbulex.com
1. PLATFORM SERVICES AND INDEPENDENT CONTRACTOR RELATIONSHIP
1.1 Platform Service
MyAmbulex LLC (“Platform”) operates a technology platform that connects individuals requiring non-emergency medical transportation with independent transportation providers (“Driver”). Platform is NOT a medical transportation provider, medical service provider, or common carrier.
1.2 Independent Contractor Status
Driver is an independent contractor providing transportation services directly to riders. Driver is NOT an employee, agent, or representative of Platform. Platform does not control the manner, method, or means by which Driver performs transportation services.
1.3 Direct Service Relationship
All transportation services are provided directly between Driver and riders. Platform facilitates connections only.
2. DRIVER REQUIREMENTS AND QUALIFICATIONS
2.1 Licensing and Legal Requirements
- Valid Georgia driver’s license (or license valid in Georgia)
- Current vehicle registration and title
- Clean driving record (no DUI/DWI within 5 years, no reckless driving within 3 years)
- Successful completion of Platform-approved background check
- Vehicle age not exceeding 15 years unless specifically approved
2.2 Insurance Requirements (MANDATORY)
Driver must maintain and provide proof of:
- Commercial Auto Liability: Minimum $100,000/$300,000/$100,000 (exceeding Georgia’s 25/50/25 minimum)
- General Liability: Minimum $1,000,000 per occurrence
- Professional Liability: Minimum $1,000,000 (if transporting medical patients)
- Workers’ Compensation: As required by Georgia law if Driver employs others
- All policies must name MyAmbulex LLC as additional insured for vicarious liability only
2.3 Vehicle Requirements
- Current Georgia vehicle inspection and safety certification
- Vehicle must accommodate medical equipment/mobility devices as applicable
- Regular maintenance documentation
- Compliance with all applicable DOT regulations
2.4 Training and Certification
- Complete Platform-approved medical transport orientation
- First Aid/CPR certification (preferred but not required)
- Training on Americans with Disabilities Act (ADA) compliance
- Annual safety training updates
3. SERVICE STANDARDS AND COMPLIANCE
3.1 Professional Standards
- Maintain professional appearance and conduct
- Provide assistance with mobility equipment as needed and within capabilities
- Respect patient privacy and confidentiality
- Comply with all applicable federal, state, and local laws
3.2 Medical Transport Protocols
- Driver is NOT authorized to provide medical services or advice
- Medical emergencies require immediate contact with 911
- Driver must have emergency contact information for all riders
- Compliance with HIPAA privacy requirements for any medical information encountered
3.3 Georgia Law Compliance
- Adherence to Georgia Commercial Vehicle regulations
- Compliance with Georgia Department of Public Health medical transport guidelines
- Following all traffic and transportation laws
4. PLATFORM USE AND BIDDING SYSTEM
4.1 Platform Access
Driver may access the Platform to view available transportation requests and submit bids for services.
4.2 Bidding Process
All transportation arrangements are direct contracts between Driver and rider, facilitated through Platform technology.
4.3 Communication
Driver must use Platform communication tools for initial coordination, maintaining records for safety and quality purposes.
5. COMPENSATION AND PAYMENT
5.1 Fee Structure
Driver retains [X]% of the agreed fare amount, with Platform retaining [X]% as technology service fee.
5.2 Payment Processing
Payments processed weekly via ACH transfer to Driver’s designated account.
5.3 Tax Obligations
Driver is solely responsible for all tax obligations, including self-employment taxes, and will receive Form 1099 for tax reporting.
6. LIMITATION OF LIABILITY AND INDEMNIFICATION
6.1 Platform Liability Limitation
PLATFORM’S LIABILITY IS LIMITED TO THE MAXIMUM EXTENT PERMITTED BY GEORGIA LAW. PLATFORM IS NOT LIABLE FOR:
- Transportation services provided by Driver
- Medical emergencies or health-related incidents
- Vehicle accidents or injuries
- Driver’s compliance with laws and regulations
- Quality or safety of transportation services
6.2 Driver Indemnification
Driver agrees to indemnify and hold harmless MyAmbulex LLC from all claims, damages, losses, and expenses arising from:
- Driver’s provision of transportation services
- Driver’s breach of this Agreement
- Driver’s violation of laws or regulations
- Any actions or omissions in connection with transportation services
7. INSURANCE VERIFICATION AND MONITORING
7.1 Ongoing Verification
Driver must provide updated insurance certificates annually and upon request.
7.2 Coverage Lapses
Any lapse in required insurance coverage results in immediate suspension from Platform until coverage is restored.
7.3 Claims Notification
Driver must immediately notify Platform of any insurance claims, accidents, or incidents involving Platform-facilitated rides.
8. TERMINATION
8.1 Termination Rights
Either party may terminate this Agreement with 30 days written notice.
8.2 Immediate Termination
Platform may immediately terminate for:
- Insurance coverage lapses
- Safety violations or accidents
- Legal violations or criminal activity
- Breach of Agreement terms
- Failure to maintain required qualifications
9. DISPUTE RESOLUTION
9.1 Governing Law
This Agreement is governed by Georgia law.
9.2 Arbitration
All disputes shall be resolved through binding arbitration in Atlanta, Georgia, under American Arbitration Association Commercial Rules.
9.3 Legal Fees
Prevailing party entitled to reasonable attorney fees and costs.
Driver Information
Name: _________________________________
License Number: ________________________
Phone: ________________________________
Email: _________________________________
Vehicle Information: ____________________
Insurance Carrier: ______________________
Policy Number: _________________________
Driver Signature:_________________________________ Date:__________
MyAmbulex LLC Representative:_________________________ Date: __________
Print Name: _________________________________Title:______________________________________