For general Inquiry please fill out these details:
Type of Dasher issue: 
Actions taken: 
Relevant links: 
Cases related:  
Reason for pending (if applicable):

Verification details:
Email address:
Phone number:
Date of birth (DOB) (MM/DD/Year):
Last 4 digits of Driver’s License and issuing state (i.e. 1234 - Kansas)
Banking Institution Name and the last 4-digits of your bank account number OR the last 4 digits of your DasherDirect card:
Last Dash Date (MM/DD/Year):


Assign to Compliance BGC USA: 
PART 1 of 2 
PROVIDE ALL OF THE FOLLOWING INFORMATION 
Valid email for PDx/Dx: 
PDx/Dx account link (Forward > Dx-Applicant page or THQ account link): 
Forward > Dx-Applicant CHC status: 
Forward > Dx-Applicant MVR status: 
What is the background check issue impacting the PDx/Dx account? 
 
If there is a valid request to Add/Change Vehicle type, review and complete PART 2 below! 
 
PART 2 of 2 
REVIEW THE ADD/CHANGE VEHICLE REQUEST INFORMATION 
Do NOT transfer the case to Compliance BGC USA IF the vehicle change request DOES NOT REQUIRE a new background check (read the information below)! 
Request is to add a bicycle or e-bike (non-motorized) AND Dx-Applicant page shows CHC = “Clear” – NO BGC needed! 
Request is to add a car, scooter, or motorcycle (motorized) AND Dx-Applicant page shows CHC = “Clear” and MVR = “Clear” – NO BGC needed! 
NOTE: If the Dasher is trying to add a vehicle but can't find it in the app it means the vehicle is not available in their current submarket – NO BGC needed! 
 
PROVIDE ALL OF THE REQUIRED VEHICLE ADD/CHANGE DETAILS 
Current vehicle selected in Dx-Applicant today: 
NEW dash type requested (motorized OR non-motorized): 
NEW vehicle needed in Dx-Applicant (bicycle, e-bike, car, motorcycle, scooter): 
NEW vehicle make, model, year, color: 
  
HSL Escalation:  
ATTACHED ALL THE SCREENSHOTS IN CASE WHICH IS PROVIDED FROM THE CONSUMER END AS EVIDENCE PURPOSE 
  
Severity and Leveling 
Questions: 
Whom is reporting the issue (callers name): 
Was this during an active Delivery: yes/no 
NOTE: IF ACTIVE DELIVERY, DISPATCH MUST BE ATTACHED TO CASE  
If the reporting party is a Ux, what is their relation: 
Callers best contact phone number: 
Callers email address: 
Country/City/State of Incident: 
Where did the incident take place? (the store,the Cx house): 
Has the caller contacted police: 
Has the caller gotten medical attention?: 
Additional Details 
Customers Language:   
Case Summary:   
Actions Taken:   
Link(s) to relevant tools/resources: 
THQ order:  n/a 
NOTE: IF ACTIVE DELIVERY, THQ LINK MUST BE ATTACHED TO CASE 
Dx/Cx's THQ:  
Mx's Forward:  
Dx's Incidents:  
Dx's Forward:  


CDMX// ESCALATION INQUIRY
For Escalation, please fill these details in:

Reason for escalation:
Relevant links:
Are there related cases?:
Issue:
Actions taken:
Expected resolution plan for the escalation team:
Verification details:Email address:
Phone number:
Date of birth (DOB) (MM/DD/Year):
Last 4 digits of Driver’s License and issuing state (i.e. 1234 - Kansas)
Banking Institution Name and the last 4-digits of your bank account number OR the last 4 digits of your DasherDirect card:
Last Dash Date (MM/DD/Year):