BestCare EMS – Ambulance & Air Employee Verification

Employee Verification

Requestor Information
Company*
Contact Person*
Phone*
Email*
Applicant's Information
Full Name*
Date of Birth*
Social Security Number*
Upload Employee Release Authorization*
Drop files here or
Authorization & Payment*
- I am authorized by the applicant to obtain and verify employment related information from Best Care EMS.
- An Administrative fee of $35 is due at time of request. Follow this link for payments: http://www.bestcareems.com/contact/billpay/
When making a Payment, please document the Applicant's Name instead of the Patient's Name in the payment form.

Call our offices at (800) 686-3588 for more information or Request an Online Quote to schedule your Medical Transport.

BestCare EMS – Ambulance & Air