Atlas Fleet Rental Application
No credit check. No security deposit. No credit card required. Complete this short application to check rental eligibility and vehicle availability.
Full Legal Name
*
First Name
Last Name
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Current Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver’s License #
*
Issuing State
*
License Expiration Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Upload a clear photo of the front of your VALID driver’s license
*
Browse Files
Drag and drop files here
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Desired Rental Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Anticipated Rental Length
*
1 week
2-3 weeks
4+ weeks
Not sure yet
Intended Vehicle Use
*
Personal
Commuting
Food Delivery
Package Delivery
Rental Plan
*
$275 — 7 Days, Prepaid, Unlimited Mileage
$1000 — 28 Days, Prepaid, Unlimited Mileage (Save $100)
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Relationship
*
Applicant Acknowledgements
*
I certify that I currently hold a valid driver’s license that is not expired, suspended, or revoked.
I certify that the information provided in this application is true and accurate.
I understand that submitting this application does not guarantee approval, vehicle availability, or a reservation.
I understand that all rental periods are prepaid and payment must be received before a vehicle is released or a rental period is renewed.
I understand that Atlas Fleet does not require a security deposit; however, I remain responsible for amounts owed under the rental agreement, including applicable damage, tolls, citations, fees, or other charges.
I understand that Atlas Fleet vehicles may be equipped with GPS/telematics technology and that additional disclosures regarding its use will be provided in the rental agreement.
I authorize Atlas Fleet Group LLC to verify my identity and the validity/status of the driver’s license information I have provided, subject to applicable law and any additional authorization required by the verification provider.
I understand that permitted vehicle use is subject to Atlas Fleet Group LLC’s rental agreement, insurance requirements, and applicable law.
Submit
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