StackBridge Rentals

Driver Qualification Form

Thank you for choosing StackBridge Rentals! To ensure the safety of our customers and our fleet, all applicants must complete this Driver Qualification Form before a rental agreement can be issued.

    Personal Information

    First Name *

    Middle Name

    Last Name *

    Date of Birth *

    Phone Number *

    Email Address *

    Current Home Address

    Street *

    City *

    State *

    ZIP Code *

    How long have you lived at this address?
    Less than 1 year1–3 yearsOver 3 years

    Driver's License Information

    Driver's License Number *

    State Issued *

    Expiration Date *

    License Class

    Have you ever had your license suspended?
    YesNo

    If yes, please explain:

    Employment / Income

    Current Employer

    Occupation

    Monthly Income

    Are you renting for:
    UberLyftDoorDashInstacartSparkPersonal UseOther

    If Uber/Lyft – Are you currently approved?

    Yes – ApprovedPendingNew Applicant

    Rental Information

    Desired Pickup Date *

    Rental Duration:
    WeeklyMonthly

    Preferred Vehicle:
    Ford FusionNissan VersaChevy MalibuHyundai ElantraHyundai AzeraSubaru Forester

    Do you have another vehicle currently?
    YesNo

    Required Uploads

    Please upload ALL of the following:

    📷 Front of Driver's License *

    📷 Back of Driver's License *

    📷 Selfie holding your driver's license beside your face *

    📷 Proof of rideshare account (if applicable)

    📷 Proof of current address *

    Optional:

    Recent paystub

    Insurance card

    Driving History

    Have you had any accidents within the past 3 years?
    YesNo

    Have you received any moving violations in the last 3 years?
    YesNo

    Have you ever been convicted of DUI/DWI?
    YesNo

    Have you ever been denied vehicle insurance?
    YesNo

    If yes to any above, please explain:

    Emergency Contact

    Full Name *

    Relationship *

    Phone Number *

    Email Address

    Rental Policies

    Please confirm you understand all policies:

    Must be at least 23 years oldValid driver's license requiredIdentity verification requiredSecurity deposit requiredWeekly payments due on timeNo smoking inside vehicleNo unauthorized driversGPS tracking installedVehicle may be remotely disabled if stolen or payments become seriously delinquent, subject to applicable law and the rental agreementVehicle must be returned cleanCustomer is responsible for traffic tickets, tolls, and parking violations incurred during the rental

    Authorization

    By signing below, I certify that all information provided is true and accurate. I authorize StackBridge Rentals to verify my identity and driver's license. I understand that submitting this application does not guarantee approval.

    Signature (Type your full legal name) *

    Date *

    📋 Approval Process

    Once submitted, your application will be reviewed.

    If approved, you will receive:

    ✅ Rental Agreement
    ✅ Payment Instructions
    ✅ Vehicle Pickup Appointment

    Most applications are reviewed within 24 business hours.