Gig Worker Infraction Reporting Form
Report incidents or infractions involving gig workers. Please provide as much detail as possible to help us address the issue promptly.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Gig Worker's Name or ID
*
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Type of Infraction
*
Please Select
Unprofessional Behavior
Late Arrival
Missed Appointment
Violation of Platform Rules
Incomplete Service
Other
Describe the Incident
*
Upload Supporting Evidence (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred Method of Follow-up
Email
Phone
No follow-up needed
Have you reported this incident elsewhere?
Yes
No
Submit Infraction Report
Should be Empty: