[et_pb_section fb_built=”1″ background_color=”#000000″ _builder_version=”3.0.106″][et_pb_row _builder_version=”3.0.106″][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][et_pb_text _builder_version=”3.0.106″]We only require basic information to assess if you have a claim. You will not need to provide any supporting documents at this point. Please note that all fields marked with an asterisk (*) are required
We are currently looking to bring claims for those who have driven for Uber in England, Wales or Scotland in the last 10 weeks. However, even if you have not driven for Uber in the last 10 weeks, please also register if you currently have an active driving account with Uber and plan to drive for Uber in the future, as you may be able to join the claim then. Please note that Uber Eats drivers are NOT eligible for this claim.
If you think you meet these criteria and wish to join the claim, please complete the form below.[/et_pb_text][et_pb_contact_form captcha=”off” email=”Naeem18@outlook.com” title=”START YOUR CLAIM” submit_button_text=”START YOUR CLAIM” form_background_color=”#050505″ module_id=”et_pb_contact_form_0″ _builder_version=”3.0.106″ title_font=”||||||||” title_font_size=”31″ title_text_color=”#e09900″ form_field_font=”||||||||” form_field_font_size=”15″ form_field_text_color=”#ffffff” border_width_all=”1px” border_color_all=”#e09900″ custom_button=”on” button_text_color=”#ffffff” button_bg_color=”#000000″ button_border_width=”1px” button_border_color=”#e09900″ button_font=”||||||||” button_text_color_hover=”#ffffff” button_bg_color_hover=”#000000″][et_pb_contact_field field_id=”Name” field_title=”Name” _builder_version=”3.0.47″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Email Address” field_type=”email” _builder_version=”3.0.47″ border_radii=”on||||”][/et_pb_contact_field][et_pb_contact_field field_id=”DateofBirth” field_title=”Date of Birth” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Address” field_title=”Address” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Town” field_title=”Town” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Postcode” field_title=”Postcode” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Telephone” field_title=”Telephone” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”DriveUber” field_title=”When did you start driving for Uber? *” field_type=”text” _builder_version=”3.0.106″ form_field_font=”||||||||”][/et_pb_contact_field][et_pb_contact_field field_id=”UberAccount” field_title=”Do you have a current active driving account with Uber? *” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1}%93″ _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”DriveUber_2″ field_title=”Do you intend to drive for Uber in the future? *” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1}%93″ _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”TFL” field_title=”Do you (or did you previously) have a private hire licence with Transport for London (TFL)? *” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22I Don’t Know%22,%22checked%22:0,%22dragID%22:2}%93″ _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Drive” field_title=”When did you last drive for Uber? If you can’t remember the exact date, please tell us the date you think you last drove: *” _builder_version=”3.0.106″][/et_pb_contact_field][et_pb_contact_field field_id=”Regions” field_title=”In which regions have you driven for Uber? *” field_type=”select” select_options=”%91{%22value%22:%22London%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22England (Outside of London)%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Wales%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Scotland%22,%22checked%22:0,%22dragID%22:3}%93″ _builder_version=”3.0.106″][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]