Just fill out this application-please don't forget to include your company's account number in the appropriate field. Immediately after you submit this application, you will be prompted to complete an online orientation. It's easy and takes just a couple of minutes. Once that's done, we'll send your membership card and electronic key fob so you can start driving.
* Indicates a required field.
Your Company's Name
Business Name & Department Account Number
Your Work Contact Information

Please provide as much contact information as you can, in case we need to reach you because of a problem with a car or reservation.

First Name Middle Initial/Name Last Name

Cell Phone Secondary Phone Alternate Phone
* We require a cell phone because it makes carsharing much easier. If you do not have a cell phone please just put the best phone number to contact you with.
Email
* By joining you will be added to our monthly newsletter email list. You may unsubscribe from this list at any time by following instructions in the e-mail. We have a separate list for reservation confirmations and billing so if you unsubscribe from the newsletter, you will still receive these core service messages.
Work Address
Address 1
Address 2 (eg. Apt. #, Floor, Room #, etc.)
City State Zip
Yes, I want to add Personal Use to my membership!
Driving Information

To drive, you must have 2 years of driving experience, a valid US driver's license, and a relatively clean driving record. Need more details? Click here. If you have a foreign driver's license Click here.

Date of Birth e.g. 1/1/1950
Driver's License Number    State Exp. Date  e.g. 1/23/2011

If you've had your current license for less than two years, please provide your previous license number:

Previous License Number    State/Province
Emergency Contact (Required: please list the name and contact information of a person, such as a work supervisor or family member, whom we can contact in case of emergency.)
First Name Last Name
Address 1
Address 2 (eg. Apt. #, Floor, Room #, etc.)
City State Zip
Phone 1 Phone 2
wheelchair icon Disability Access

While the AccessMobile is intended to be a shared vehicle for all City CarShare members, designation as an Access program member assumes you have specific and direct need to utilize a vehicle designed for people who require a means to transport those using mobility-assisted devices. You may join as a program member whether or not you have a driver's license. However, only those with valid driver's licenses may drive the vehicle.

By joining the Access program you agree to the following terms and conditions:

  • When you reserve and use the AccessMobile anytime Monday-Friday 8 AM to 6 PM, you agree to use it only to transport people who require a mobility assisted device.
  • You will not use the AccessMobile as a vehicle for hire under any circumstances.
  • You will only use the Access equipment to transport those using mobility-assisted devices.
  • You agree to provide feedback on the service. This includes occasional surveys and questionnaires conducted either electronically or via telephone.
  • You realize that this program is a trial program, and changes to the program are likely.

California disability parking placard In order to legally park in accessible parking spaces, you will need to bring your own California disabled person parking placard with you. Please enter your placard number in case you leave it in the van. When we find it, we will contact you so it can be retrieved.

If you have a California disabled person parking placard, registered in your name, please enter the number here. We will use this is case of lost placards, and for parking ticket research:

By checking the box, I agree to the Access program terms and conditions. I understand that failure to adhere to these terms and conditions will result in a fine of $250 and/or termination of my membership.

Click here to download AccessMobile equipment instructions.

Other Information
Please enter any notes or comments here:

If you have a promotion code, please enter it here:

I understand that City CarShare and its associates will check my driving record and that it will be used along with this application to determine my eligibility for membership. I agree to be bound by this application and understand that certain driving violations or accidents may cause automatic rejection of this application. I understand that if my application is denied my employer may be informed that I am not eligible for City CarShare membership, but will not be told the specific reason why.

NOTE: All fees for products, services or dues are subject to any applicable local, state or federal taxes.

City CarShare reserves the right to limit use of Buck to Deduct for any member. All drivers agree to follow City CarShare Member Handbook rules and to drive responsibly. Failure to drive responsibly may result in an increase of your deductible and/or additional fines and fees. Members may or may not be responsible for this deductible, depending on the 'cause and fault' assigned. In all cases, members are responsible for driving responsibly and adhering to the Member Handbook, or they may be responsible for the full cost of damage.

I agree to the terms outlined above and in the Member Handbook.

Please wait for confirmation after sending the application. For questions regarding your application, please feel free to call our offices at 415-995-8588 Monday - Friday 9am - 5pm (except holidays).