Reservation

First Name

Last Name

Phone *

Email *

I authorize IE/LA Rides to conduct a background check, including driving history and relevant criminal records. I understand this is required for vehicle rental and will be handled confidentially under applicable laws.

Yes

No

Do you reside in the Inland Empire or Los Angeles area?

Yes

No

Please upload a photo of the FRONT of your driver’s license.

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Please upload a photo of the BACK of your driver’s license.

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Will the vehicle be rented for personal use or for work-related purposes (e.g., Uber, Lyft, DoorDash, etc.)?

If the vehicle is for gig work, are you currently approved to drive on the specified platforms (e.g., Uber, Lyft, DoorDash, etc.)?

Yes

No

In the process

I'm renting for personal use

Kindly upload a clear screenshot of your active Uber, drive share, delivery or Lyft driver profile. Please ensure that your name and active status are clearly visible in the image.

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Proof of Income.

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

How many miles do you typically drive per week?

What is your preferred method of payment?

Zelle

Cash

What is the duration of your intended rental?

Less Than 3 Weeks

3 Weeks or More

More than 6 months

Do you have a preferred vehicle type (e.g., hybrid, sedan, SUV, etc.)?

Sedan

Electric

SUV

Is there any information on your background or driving record that we should be made aware of?

Are you prepared to pay the full weekly rental fee upfront?

Yes

No

How many hours do you typically drive per week?

10-20h hr per week

21-30 hrs per week

31-40 hrs per week

More than 40 hrs per week

Have you ever been convicted of a felony or misdemeanor?

Yes

No

If you answered 'Yes,' please provide details regarding the conviction(s) below:

How soon are you available to begin your rental?

Within the next 3 days

Within the next 3 weeks

Within a month or more

Gender

Male

Female

Non-binary

Prefer not to say

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By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

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