***PFHT (rideshare, NEMT, Taxi, shuttle, etc.) permitted drivers ONLY***
The form takes about 5 minutes to complete
Gather Information
This form is for PFHT (rideshare, NEMT, Taxi, shuttle, etc.) permitted drivers ONLY.
Describe the incident in the linked form. Please provide as many details as you can: location, date, time, etc. Upload additional information, the police report, and photographs in the space provided. We strongly encourage you to file a police report, even if the damages amount to less than $2500. Please see State of Oregon reporting requirements HERE.
Complete Online Form
Go online to complete this form.