Driver’s Application Form

PERSONAL INFORMATION

Please Choose *

Driver

Owner

First Name *

Last Name *

Home Address *

Cell Phone *

Home Number *

Email *

Social Security Number *

Sex *

Male

Female

DRIVER INFORMATION

Type of Driver License *

Can you drive to Canada? *

Yes

No

Emergency Contact Name *

Emergency Contact Phone *

Have you driven for Riverside Line before? *

Yes

No

Your ID *

Have you driven for a Taxi before? *

Yes

No

REQUIRED DOCUMENTS FOR APPLICATION (Allowed file formats: PDF, JPEG, PNG, GIF)

Upload Copy of W9 Form *

Choose a file

Upload Copy of Your Driver License *

Choose a file

Upload Copy of Registration & Insurance Card *

Choose a file

Upload Your Picture *

Choose a file

Upload Driver Abstract (Your license report)

Choose a file

Upload Picture of the front license plates

Choose a file

Upload Independent contractor agreement

Choose a file

Upload Passenger rights documents signed

Choose a file

Upload Picture of the car

Choose a file

All of the information set forth is true and complete. I understand that any false statements on this application form shall be sufficient reason to cancel the entire document.