Name

This is required so we can match your documents to your driver profile.

Cell phone number

We will contact you only for trip assignments or urgent updates.

Email Address

Used for sending trip confirmations and account notices only.

Cell Phone Provider

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Upload TLC Driver License

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TLC Driver License Expiration Date

Upload Regular Driver’s License (front and back)

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

This verifies that your license is valid and up to date for transportation services.

Driver Licence Number

Upload your TLC Vehicle Registration

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This confirms the vehicle is legally registered and approved for transport use.

Upload a picture of your Insurance Card

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We are required to keep proof of active vehicle insurance on file for safety and compliance.

Upload a picture of your TLC Inspection (if applicable)

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Take a picture of your Vehicle (front, back, side)

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Vehicle Year

Make

Model

License Plate Number

Wheelchair Accessible?

How many seats

Are you able to provide Step / Stairs Assist?

Yes, I can assist with steps
No, I cannot provide step assistance

Some passengers need help up or down a few steps. We only assign these trips to drivers who confirm they can safely assist.

Do you currently have an extra wheelchair available for passengers to use?

Yes
No

This applies only when a passenger does not have their own wheelchair. You will never be asked to provide your personal equipment

W-9 Form Upload

To receive payments, all independent contractors must provide a completed W-9 form. This is a standard IRS document and takes less than 2 minutes to fill out.

Step 1: Download the blank W-9 form below.

📄 Click here to download the W-9 Form

Step 2: Open the PDF, type your information directly into the form, digitally sign it, and save it.

Step 3: Upload your completed W-9 in the field below.

Note: Your sensitive information (such as SSN) is entered only inside the PDF — not in this form.

Upload Completed W-9 (PDF Only)

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Please upload your filled and signed W-9 form.

Cash App Username (Required for Payments)

We send all driver payments through Cash App only. Please enter the exact Cash App username where you want to receive your payments. This is how you will get paid for completed trips, so make sure the username is correct. Your Cash App username usually starts with a $ symbol (example: $JohnDoe).

Notes (Optional)

If you need to share anything about your W-9 upload or Cash App payment details, you can write it here. This field is optional.

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W-9 Form Upload

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