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6
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1
What Entity Type Is Affected?
*
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Please select one from the list.
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Driver
RDS
Restaurant
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Driver
RDS
Restaurant
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2
Name / Business Name of Affected Party
*
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Please let us know the name of the affected party.
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3
Email
*
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Please input the email address associated with the account in question.
example@example.com
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4
What is the name of the associated delivery service / RDS?
*
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What is the name of the delivery service / RDS which the entity is associated with?
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5
Provide Your Social / Tax ID Number
Optionally provide your Social / TIN
(optional)
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6
What are you experiencing?
Please provide details as to what you are experiencing.
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