NY Taxi Workers Alliance App Driver Deactivation Intake Form

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Please use this form to report if you have been deactivated by Uber or Lyft. Please also visit the office for a longer intake and for support.

ADDRESS: 31-10 37th Avenue, Suite 300
Long Island City, NY 11101
Hours: Mon - Thurs 11am to 7pm and Fridays 11am to 5:30pm

Phone: 718-706-9892
Email: media@nytwa.org

TLC License Number *

First Name *

Last Name *

Cell Phone Number *

Email Address

Which Company Deactivated You? *

Date of Deactivation *

YYYY

Current Status of Case *

Still Deactivated

Was Reinstated

Was Permanently Deactivated

If Reinstated: Date of Reinstatement

YYYY

We will give you a call to collect the remaining information for the report!

NYTWA Staff Notes

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