Mobl Media — Driver Onboarding

1

Personal Information

Used for onboarding and payment setup only

First Name *

Last Name *

Email Address *

This is where your monthly earnings statement and program updates will be sent.

Phone Number *

City / Neighborhood you drive most *

Zip Code *

Your information is secure

Mobl Media does not sell or share personal information. Your contact details are used only for program onboarding and earnings payments.

2

Your Driving Profile

Helps us match you to the right zones and estimate your earnings

Which platforms do you currently drive for? *

🟣

Lyft

⬛

Uber

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Both

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Other

Mobl Media works with drivers on any platform. We recommend starting with Lyft drivers — Lyft has no competing tablet program.

How many trips do you typically complete per week? *

1–20 trips 21–40 trips 41–60 trips 61+ trips

What time of day do you drive most? (optional)

🌅 Morning (6am–12pm) ☀️ Afternoon (12pm–5pm) 🌆 Evening (5pm–10pm) 🌙 Late night (10pm–4am)

What areas do you primarily drive in? (optional)

Downtown Minneapolis / St. Paul Uptown / South Minneapolis Northeast Minneapolis / Midtown Inner suburbs (Edina, Richfield, Hopkins, Roseville) Outer suburbs (Eden Prairie, Plymouth, Maple Grove) MSP Airport runs

What is your vehicle year, make, and model? *

How many headrests does your rear seat have? *

2 headrests 3 headrests Bench (no headrests)

The Mobl Media tablet mounts on the rear of the front headrest, facing passengers. Most vehicles are compatible.

Step 2 of 5

3

Pay Structure & Trip Reporting

How your earnings are calculated and verified each month

How You Earn

$0.35

Per Trip

Paid for every completed rideshare trip while the tablet is active

$0.004

Per Impression

Paid each time a geo-triggered ad plays for a passenger in your vehicle

$50*

Monthly Floor

Guaranteed minimum if you complete 100+ trips in the calendar month

* 100-trip minimum applies to the floor guarantee only. Below 100 trips, you still earn $0.35/trip + $0.004/impression — there is simply no floor applied. Earnings are calculated monthly and paid via direct deposit or Zelle by the 5th of the following month. Mobl Media will issue a 1099-NEC at year end for earnings over $600.

📊 Example monthly earnings

A driver completing 200 trips/month through an area with active advertisers:

200 trips× $0.35= $70.00 ~800 impressions× $0.004= $3.20

Total: $73.20 — above the $50 floor, paid as-earned. More trips and more advertisers in your zones = higher impressions per trip.

Monthly Trip Reporting — Required

Why we require monthly trip data

Because Mobl Media pays per trip and per impression, we need to verify activity against your rideshare platform's own records each month. This protects you from underpayment and protects the program from fraud. Trip data is used only for payment calculation — never shared with advertisers or third parties.

📅

By the 3rd of each month

Submit your prior month's trip summary through the Mobl Media Driver Portal. Lyft: Earnings → Last Month. Uber: Activity → Trips.

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Accepted formats

Screenshot of your earnings summary, or a CSV trip history export from Lyft or Uber. No passenger names or street addresses are required — zone-level data and trip counts are sufficient.

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Privacy

All trip data is stored encrypted, used only for payment verification, and deleted after 13 months. Mobl Media never shares individual driver data with advertisers or any third party.

Your most recent 30-day totals (to set a baseline)

Trips completed (last 30 days) *

Miles driven for rideshare (last 30 days)

Upload earnings screenshot or trip CSV (optional now, required monthly)

📎

Click to attach a file

Screenshot (PNG/JPG) or CSV · Max 10MB
Your data is encrypted and used only for payment verification

Step 3 of 5

4

Required Documents

Proof of rideshare employment, license, and insurance — required before activation

Why we require these documents

Mobl Media is a commercial in-vehicle advertising program. To protect advertisers, passengers, and drivers, we verify that every driver is an active, insured rideshare operator before activating their tablet and issuing payment. Documents are stored securely and reviewed only by the Mobl Media onboarding team.

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Proof of Active Rideshare Driver Status

Required · Lyft or Uber

A screenshot or PDF showing your active driver status on Lyft, Uber, or another TNC.
Lyft: App → Account → Driver Mode → screenshot showing "Active" status or your current rating/acceptance rate screen.
Uber: App → Account → screenshot of your driver profile showing active status.

📱

Upload rideshare status screenshot or PDF

PNG, JPG, or PDF · Max 10MB

Platform shown on document *

Driver account name on platform *

Approx. driving start date

Current status

🪪

Driver's License

Required · Valid & unexpired

A photo or scan of your valid driver's license. Must show your name, license number, and expiration date. Must not be expired.
Your license information is used for identity verification only and is stored encrypted.

🪪

Upload driver's license photo or scan

PNG, JPG, or PDF · Max 10MB · Front of license only is sufficient

Full name exactly as printed on license *

Issuing state *

License expiration date *

Last 4 of license number

🛡️

Vehicle Insurance

Required · Current policy · Rideshare-endorsed preferred

A copy of your current auto insurance declarations page or insurance card. If your policy includes rideshare endorsement (some Lyft/Uber policies include this), please include that page. Standard personal auto insurance is also accepted — your rideshare platform provides commercial liability coverage during active rides.

🛡️

Upload insurance card or declarations page

PNG, JPG, or PDF · Max 10MB

Insurance carrier *

Policy number *

Policy expiration date *

Rideshare endorsement on policy?

Named insured (if different from applicant)

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Vehicle Registration

Required · Current registration for the vehicle receiving the tablet

A photo or scan of your current vehicle registration card. This confirms the vehicle in which the tablet will be installed and that it is legally registered to operate.

🚗

Upload vehicle registration

PNG, JPG, or PDF · Max 10MB

License plate number *

Plate state *

VIN (last 6 characters)

Registration expiration

Is this vehicle owned, financed, or leased? *

If leased or rented, we may need written permission from the lessor before installing hardware.

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Form W-9 / Tax Information

Required before first payment · IRS reporting

Drivers are paid as independent contractors. A completed IRS Form W-9 is required before your first payout, and Mobl Media issues a Form 1099-NEC for any driver paid $600 or more in a calendar year.
Do not enter your full SSN or EIN on this form. You will complete and sign the W-9 securely in the Driver Portal after your account is created.

📄

Upload completed W-9 (optional now)

PDF preferred · Max 10MB · Can also be completed later in the portal

Legal name for tax reporting *

Tax classification *

Business name / DBA (if applicable)

💳

Payment Method Setup

Required before first payout · Completed securely in the Driver Portal

Tell us how you'd prefer to be paid. Never enter full bank account or routing numbers on this form. After your application is approved, you'll receive a secure link to enter payment details directly with our payment processor.

Preferred payment method *

Name payments should be issued to *

Document Checklist

Check each item you are submitting today

💡 Can't upload now? You can still submit this application and upload documents through the Mobl Media Driver Portal after your account is created. Your tablet will not be activated until all four required documents are received and verified, and your first payment will not be released until your W-9 and payment method are on file.

Step 4 of 5

4

Agreement & Consent

All items below must be checked before submitting

Almost done — here's what you're agreeing to

This survey is your initial expression of interest. A full Driver Service Agreement will be sent separately before any tablet is installed. You can review it fully before signing anything.

Required acknowledgements — please check all six *

How did you hear about Mobl Media?

Anything else you'd like us to know?

Digital signature — type your full name to confirm *

By typing your name you confirm the information above is accurate to the best of your knowledge.

Step 5 of 5