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Click ‘Get Form’ to open the pull notice in the editor.
Begin with SECTION A — CURRENT INFORMATION ON FILE. Fill in your company name, requester code number, and DBA (Doing Business As) if applicable. Ensure your telephone number is accurate and include a mailing address.
Next, provide the contact person's name and their email address for correspondence. This information is crucial for any follow-up regarding your request.
Move to SECTION B — REQUESTED CHANGES TO THE EMPLOYER PULL NOTICE ACCOUNT. If there are changes in ownership, note that a new application is required. Update any necessary fields such as email address, mailing address, and telephone number.
Finally, ensure you sign the form under the authorized person’s signature section. This certifies that all provided information is true and correct.
Once completed, return the form to the specified DMV address provided at the bottom of the document.

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Versions	Form popularity	Fillable & printable
2011	4.9 Satisfied (498 Votes)

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