Lime Aid Rider Sign-Up [USA]

Lime is providing free 30-minute rides to workers in health care, public safety, public transit, janitorial, delivery service and other essential occupations who are helping to keep our cities safe and moving during this unprecedented time. Please use the form below to apply for this program by verifying your employment in the USA. For Canada apply here: https://airtable.com/shrvm1OD7EtQ05V74 Terms & Conditions apply please see below.

First Name

Please enter your first name as it appears on your ID.

Last Name

Please enter your last name as it appears on your ID.

Phone Number

Please enter your phone number below, with area code. This should be the same number on your Lime account.

Email Address

We will only use this to confirm your successful application or if there are any follow-up questions.

City

Please choose your city from the participating city list below.

Washington DC

Photo ID

Please upload an image of a government-issued photo ID, such as a driver's license, state ID card, or passport.

Attach file

Drop files here

Work ID

Please upload an image of your worker ID badge or other supporting documentation of your status as an essential worker.

Attach file

Drop files here

I confirm that the above information is true.

Terms & Conditions: Only one code will be allowed per user. Multiple applications may be rejected and your account may be suspended. The information submitted in this form will be collected and processed in accordance with Lime's Privacy Notice https://www.li.me/privacy and Airtable's Privacy Policy https://airtable.com/privacy. Terms apply see here for more details: https://www.li.me/en-us/limeaid-terms

Do not submit passwords through this form. Report malicious form

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