Safe Connections 2.0
WESNET Rides Signup Form
WESNET RIDES SIGN UP FORM
WESNET Rides Signup form
Email address of person completing form
A copy of what you submit on this form will be emailed back to you for your records.
Your Agency Details
Your Agency Name
WESNET Membership Number or Safe Connections Agency Number
Please enter your WESNET Membership number (with no W-) or your SC Agency Number. If you don't know your number please call us on 1800 937638.
Please enter a number from
Details for your User Log in Set up
The Email you will use to log in to WESNET's Central Account
Generic/team email address for setting up the Uber Account. For example firstname.lastname@example.org or email@example.com. If there is more than one staff member ordering rides you will need access to an email you can share.
Do you have a mobile number that can be used for your agency?
Agency Mobile Phone Number
Enter a mobile phone number that will be used for 2-step authentication when you log into your agency Uber account. Again it may be best to use an after hours mobile number or a mobile that is shared amongst team members if you are planning for more than one staff member to book rides. It's best if the number is not already connected to an existing Uber Account.
Will you be able to get a mobile phone number to use?
Access to the Uber Central account requires 2-step authentication via SMS. So a mobile phone number is required to access the program. You may wish to consider whether you require more than one staff member to access the Uber dashboard, before you nominate an individual staff member's mobile number.
Please provide the name of the manager or authorised person who delegated to sign Agreements/Contracts on behalf of your agency. (This is usually the CEO unless your agency is very large).
Authorised Person's Email
WESNET will email the Agreement for signing to the authorised person.
Authorised Person's Phone
Please provide a contact number for the Authorised Person. This is a national program, please include your area code if you are giving us a landline.
Who is the best person for WESNET to contact for day-to-day issues?
Same as person completing this form
Same as Reponsible person listed above
Day to Day Contact Email
Day-to-Day Contact Phone
NB - this is a national program, so don't forget to give us your Area Code if you are using a landline.
This field is for validation purposes and should be left unchanged.
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