File a Claim Rideshare Lawsuit FILL OUT THE FORM BELOW TO GET YOUR FREE CLAIM REVIEW Rideshare Lawsuit Case TypeRideshareWhich Rideshare application you was used ? Uber LyftDid you report this incident to ?- Select -Policecustomer servicefamily membersmedical professionalNoneWhere did the assault happen, Inside the car, outside the car or around the car?Have you reported this incident to Rideshare company, Police, Therapist, Medical professional, Family/friends (within 2 weeks of the date of the incident)? No YesWould you be able to provide proof of ride to law firm with your ride receipt? No YesWill you be able to provide audio/video recordings? No YesDo you currently have a lawyer representing your claim? No YesDo you have ride receipt ? No YesDate of incident EmailPhone NumberFirst Name & Last NameStreet AddressAddressAddress Line 1CityStateZip Code I would be needing help to file a settlement. I agree to the Privacy Policy and disclaimer and give my express written consent, affiliates and/or attorneys to contact you at the number provided above, even if this number is wireless or if I am presently listed on a Do Not Call list. I understand that I may be contacted by telephone, email, text message, or mail regarding case options and that I may be called using automatic dialing equipment. Message and data rates may apply. I don't need to purchase my consent. This is Legal advertising. I understand I will be asked for medical records, and if falsified, I will be held liable for knowingly providing false information and the Law Firm reserves the right to seek all available remedies under the law.Submit Form