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Agreements
Information
Forms
Uber Complaint Form
Your name
*
Email Address
Train Symbol
*
On-Duty Date
On-Duty Time
Pick-up Location
Select one
Council Bluffs
Des Moines
Omaha
Other
Drop off location
Select one
Fremont
Boone
Mason City
Wilson
Other
Driver Name
License Plate (if known)
Did you fill out a safety concern report on the UP website?
Yes
No
Ticket number of Safety Report
EVMS number
This is the order number found on your Van Status screen
Describe the issue or incident
Do you have supporting photos or screenshots to include with this submission?
Yes
No
Drag and Drop (or)
Choose Files
Submit
Please do not fill in this field.
