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Your Lyft Claim

We handle cases that change lives.

Please fill out the form below to participant in the settlement process.

"*" indicates required fields

Name*
Address
During the ride when the incident happened, were you a driver or passenger?*
Where did the incident occur?
Please check off the following acts that occurred during the sexual/physical abuse:*
Is a copy of the Ride Receipt available?*
Did you report the incident to Lyft?*
If you reported the incident to Lyft, how? (Please check all that apply)*
Did you report the incident to the police? (Y/N)
This field is for validation purposes and should be left unchanged.