Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.NameFirstLastTrip TypeUberXUberXLUberComfortUberPetLyftUber GreenOther(not inculde)Uber PremierDate EmailUpfront Offer amount ($) Enter 0 if not shown *Estimate time (Total of both pickup and drop off) mins *Actual Fare payment/earnings (not inculding HST) Enter 0 if not shown *Estimate distance (Total of both pickup and drop off) km *Actual trip distance(pickup and drop off time) km Enter 0 if not shown *Actual trip time (pickup and drop off time) (minutes-seconds) Enter 0 if not shown *Tips Enter 0 if not shown *En route Time *En route distance *Image file no extention needed Click or drag files to this area to upload. You can upload up to 2 files. CommentSubmit