Rideshare

20

24 LEGAL CLAIMS

ONLINE REGISTRATION PORTAL

Victims of sexual assault during rides with Uber or Lyft may be entitled to compensation for their suffering. If you have experienced such an assault during a rideshare, you deserve justice. These incidents can have long-lasting emotional, physical, and psychological effects. Complete the form below to take the first step toward claiming the justice and compensation you deserve.

First Name

Last Name

Phone Number

Email Address

Address

City

State

Postal Code

Where u a victim of sexual assault on rideshare?

Yes No

What Rideshare was used?

UBER LYFT

Do you have a receipt of the ride?

Yes No

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