App-Based Worker Deactivation Intake Form

If you are an app-based worker who has been deactivated, please fill out this form.

Please fill out this form if you have been deactivated by an online platform or app operating in Seattle. Depending on the circumstances, we may contact you to follow up about your complaint. In other cases, we will provide information on other ways you may be able to address your deactivation. The information you provide here is subject to public disclosure and could be shared with the app-based company for purposes of addressing your complaint.

The Office of Labor Standards is committed to providing accommodation for persons with disabilities and language interpretation and translation. To access this form in an alternate format or language, please contact us at (206) 256-5297 or laborstandards@seattle.gov.

Thank you for providing this information. The Office of Labor Standards would like to contact you about your deactivation. If you need an interpreter, please check the box and we can provide one.