Clients
Forms and Other Documents:
- Northern Minnesota NEMT Brochure
 - Northern Minnesota NEMT Brochure (Spanish)
 - Northern Minnesota NEMT Brochure (Somali)
 - Northern Minnesota NEMT Brochure (Hmong)
 - Northern Minnesota NEMT Brochure (Karen)
 - Gas Mileage Reimbursement Trip Log
 - Gas Mileage Reimbursement Trip Log (Spanish)
 - Gas Mileage Reimbursement Trip Log (Somali)
 - Gas Mileage Reimbursement Trip Log (Hmong)
 - Gas Mileage Reimbursement Trip Log (Karen)
 - Ancillary Services Form
 - Ancillary Services Form (Spanish)
 - Ancillary Services Form (Somali)
 - Ancillary Services Form (Hmong)
 - Ancillary Services Form (Karen)
 - Mileage and Access Services Brochure
 - Minor Parental Authorization Form
 - Minor Parental Authorization Form (Spanish)
 - Minor Parental Authorization Form (Somali)
 - Minor Parental Authorization Form (Hmong)
 - Minor Parental Authorization Form (Karen)
 - Medically Necessary Attendant Form
 - Medically Necessary Attendant Form (Spanish)
 - Medically Necessary Attendant Form (Somali)
 - Medically Necessary Attendant Form (Hmong)
 - Medically Necessary Attendant Form (Karen)
 - Medically Necessary Distance Form
 - Medically Necessary Distance Form (Spanish)
 - Medically Necessary Distance Form (Somali)
 - Medically Necessary Distance Form (Hmong)
 - Medically Necessary Distance Form (Karen)
 
Remember:
- You can schedule a ride Monday through Friday from 7 a.m. to 6 p.m.
 - You must call at least three business days before your routine appointment
 - Have your trip information ready when you call
 - Be ready at least 15 minutes before your ride is scheduled to arrive
 
Important Toll-Free Phone Numbers
- To schedule a ride call 1-844-399-9466
 - If your ride is late call 1-844-399-9466
 - To file a complaint call 1-866-436-0457