First Name *

Last Name *

Phone *

Email *

Date of birth *

Address *

Street Address *

City *

State *

Postal Code *

Do you currently have a valid driver's license? *

Yes

How many years have you been licensed *

Do you currently own a vehicle *

Yes

If yes, what happened to your current vehicle?

What will the vehicle primarily be used for? *

Have you driven for Uber, Lyft, Doordash, or Flex *

Yes

Have you had any accidents within the past 5 years *

Yes

Have you had any major moving violations within the past 5 years? *

Yes

Have you ever been convicted of a felony or misdemeanor? *

Yes

If approved, can you provide your drivers license, proof of income, Driver profile screenshot? *

Yes

Do you currently have an active personal auto insurance policy in your name that covers rental non-owned vehicles? *

Yes

When do you need a vehicle? *

I certify that the information provided in this application is true and accurate to the best of my knowledge *

I Agree

I Disagree

Do you consent to a driver screening *

Yes

By checking this box, I consent to receive non-marketing text messages from Bayline Holdings LLC (Bay Area Rides) regarding my rental application, screening updates, appointments, rental status, and payment reminders. Message frequency varies. Message and data rates may apply. Text HELP for assistance; reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional text messages from Bayline Holdings LLC (Bay Area Rides), including vehicle availability, special offers, discounts, and service updates. Message frequency varies. Message and data rates may apply. Text HELP for assistance; reply STOP to opt out.