RENTER INTAKE FORM
This form is to expedite the inspection process for listed renters.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Please provide current address:
*
Age Requirement is 21+ (Y/N):
*
Upload Driver's License Picture( FRONT/BACK)
*
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of
What is the purpose of this rental:
*
Choose insurance option:
*
Please Select
In-House Coverage
Out-House Coverage
Own Coverage
More Options*
Upload Insurance Coverage (if opting out of In-House):
*
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of
When would you like to start?
*
ASAP!
24 HRS
72 HRS
1 WEEK
Are you payment ready?
*
Yes
No
Any Recent Accidents?
*
NO
YES
Upload DoorDash/Rideshare Profile:
*
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of
Upload RECENT DoorDash/Rideshare Platform Activity :
*
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of
IS THE LISTED RENTER THE ONLY ONE OPERATING THE VEHICLE?
*
How did you hear about us?
*
Save
Submit
Should be Empty: