This form takes about 1-3 minutes to complete. You may be entitled to significant compensation.

Were you sexually abused by a driver from Uber or Lyft? *

Was the ride booked through the app? *

Do you have documentation of the ride (such as app history or email receipts)? *

Many people can find their ride details by searching their email for “Uber receipt” or “Lyft receipt,” or by opening the Uber/Lyft app and checking Your Trips / Ride History. Providing documentation of the ride helps strengthen your case and is required for our legal team to evaluate your claim.

How old were you when at the time of assault? *

Did the driver physically touch you in a sexual way during the ride? *

Was the sexual touching non-consensual? *

What state did it occur? *

In what city did the assault happen? *

What month and year did the assault happen? *

To help our team fight for you, we need to understand the extent of the abuse. Can you describe what happened? *

Are you currently being represented by an attorney or another law firm for this matter?

Full Name *

Date of birth *

Email *

Phone *

Address

Street Address *

City *

State *

Postal Code *

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