Here's how it works
01. Edit your packet dmv online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send packet notice via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out the Employer Pull Notice Program with our platform
- Click ‘Get Form’ to open the Employer Pull Notice Program application in the editor.
- Begin with Section A, where you will enter your company name, DBA (Doing Business As), and contact information. Ensure all details are accurate and clearly printed.
- Proceed to Section B if your billing address differs from your main address. Fill in the required billing contact information.
- In Section C, provide licensing and business identification details for individuals managing the business. Include their names, titles, and federal employer identification number.
- Section D requires you to state your purpose for enrollment and confirm whether all employees are mandated for enrollment under California Vehicle Code §1808.1(b).
- Finally, complete Section E by certifying that all provided information is true. Sign and date the form before submission.
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