Driver Account Attestation Form
Confirm your account status and qualifications to access the platform. Please complete all fields accurately. This form is for attestation purposes only and does not collect sensitive or financial information.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Platform Username or Reference
*
Current Account Status
*
Please Select
Active
Pending Activation
Suspended
Deactivated
Primary Vehicle Type
*
Please Select
Car
Van
Motorcycle
Bicycle
Other
Years of Licensed Driving Experience
*
Do you currently hold a valid driver’s license?
*
Yes
No
Non-sensitive License Reference Number (if applicable)
Signature
*
Submit Attestation
Submit Attestation
Should be Empty: