DAC SubmissionForm

This information will be used to operationalize this program. By submitting information in this form, you agree to the terms of Lyft’s Privacy Policy.
 

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* 1. Firt Name

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* 2. Last Name

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* 3. Lyft Driver Email Address

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* 4. Lyft Account Phone Numbeer

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* 5. What Lyft Market Do You Drive In?

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* 6. Why did you become a Lyft Driver

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* 7. How are you interested in becoming involved with the Lyft Community

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* 8. Disclaimer Acknowledgement: We cannot respond to every submission. Please be sure to submit individual cases through the Lyft Help Center. If you're reporting a personal complaint, please let us know what the cause of the issue is and what we can implement or change to make this experience better for drivers in the future.

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* 9. Describe your idea/feedback

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* 10. By checking this box, you agree that a team member, can reach out to you regarding this form submission IF further information/engagement is required.

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