Book a Call

I understand this is a waitlist and submitting this form does not guarantee a vehicle.

I certify that the information I provided is accurate and authorize Lifeline Rentals to verify my driver's license status and other information provided for the purpose of determining my eligibility to rent a vehicle

Insurance Verification Authorization: I authorize Lifeline Rentals to contact my insurance company and verify my policy, coverage status, and whether my coverage extends to the rental vehicle