Base Letter & Base Affirmation Request Form
Complete the form and we will email you a copy of the base letter and submit a base affirmation request with the TLC for you to license your vehicle.

Please note:
You will need a NYC TLC driver’s license in order to partner with Uber in NYC.

Do not fill out this form unless you will be able to register this vehicle at the New York State DMV.
Head to http://dmv.ny.gov/ for information regarding the DMV in NYS.

Please make sure Uber accepts the vehicle you plan to register.
Go to t.uber.com/vehicles for a list of accepted vehicles.
Uber accepts 2006 and newer vehicles at this time.

You will be responsible for all financial undertaking.

Email address *
Vehicle Owner (name that will be on your TLC insurance and registration) *
Your answer
Entire VIN # (17 digits) *
Your answer
Vehicle Owner's Cell Phone # *
Your answer
Vehicle Year *
Vehicle Make & Model *
Your answer
Additional information? (optional)
Your answer
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