Company information
To escalate any issues, please fill out
this support form.
dashboard_company_id
Hidden Field
Company name
Business contact
Please provide your work email
Are you based in the United States, or Canada?
Banking information format varies by country
United States
Canada
Are you submitting new information, or requesting an update?
New information
Requesting an update
Designated point of contact
Your company's point of contact for all payment questions, including driver refunds
Remittance preferences
Would you like to receive your remittance via direct deposit, or check?
Direct deposit
Check
Direct deposit information
Employer identification number
Account number
Routing number
GST/HST number
Account number
Transit number
Institution number
Check information
Name as printed on check
Address line one
Address line two
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Province or territory
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
Zip code
Postal code
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