Private Vehicle Rental Prequalification

City Miles Rental

Purpose: Used only to screen rental eligibility. Completing this form does not guarantee approval, reserve a vehicle, or create a rental agreement.

Takes about 2 minutes · We normally respond within one business day · Most applications reviewed within 24–48 hours

Personal Information

Full Legal Name *

Email *

Phone *

Age *

Driver's License *

Do you currently hold a valid driver's license?

Intended Use *

What do you plan to use the vehicle for?

Short-Term via TuroWeekly / CommuterRideshare (Uber / Lyft)Delivery (DoorDash / Uber Eats / Grubhub / Instacart / Shipt)

Desired Rental Duration

When do you need the vehicle?

Platforms you drive for / plan to drive for (optional)

Account status

How long have you performed this work?

Message Consent (optional)

Transactional messages (optional): I agree to receive text messages from City Miles Rental about my application, account, rental, payments, appointments, and services I request. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to opt out.Marketing messages (optional): I agree to receive promotional text messages from City Miles Rental, including special offers, discounts, and service updates. Consent is not required to rent a vehicle. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to opt out.

For details on how we use your information, see our Privacy Policy.

Applicant Certification — Not a Rental Agreement

I certify that all information provided is complete and truthful. I authorize City Miles Rental, to the extent permitted by law, to verify my identity, contact information, and rideshare or delivery platform status using the information I supplied. I understand that false, misleading, or omitted information may result in denial or withdrawal of approval. I understand that final approval is subject to document verification, vehicle availability, payment, insurance requirements, and execution of a separate rental agreement.

I agree to the certification above.

Signature (type full name) *

Date