Inf 1100-2026

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The document provides instructions for employers in California to enroll or delete drivers from the Employer Pull Notice (EPN) program. It outlines the necessary steps, including completing an enrollment form, paying a $5 fee per driver, and submitting the form with an original signature. The document emphasizes the importance of using separate forms for different actions (enrollment, deletion, changes) and details the information required from both employers and drivers. Additionally, it highlights the employer's responsibility to manage driver records in compliance with California law.

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Click ‘Get Form’ to open the inf 1100 in the editor.
In Section 1, enter your Company Legal Name and Mailing Address. Ensure that the Requester Code is accurate to avoid rejection.
Provide a valid Telephone Number and list Contact Person(s) who can manage inquiries regarding your EPN account.
Move to Section 2. Fill in the California Driver License or 'X' Number for each driver you wish to enroll, along with their Full Last Name.
If applicable, mark any Change Remarks next to the driver's information and utilize the optional Remarks Column for additional notes.
Count and input the total number of drivers added or deleted. Remember, a $5 fee is due for each driver enrolled.
In Section 3, ensure you print your name, sign as the Authorized Representative, and date the form before submission.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (96 Votes)
2010	4.3 Satisfied (59 Votes)

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