A copy of the out-of-state driver license must be attached for all enrollments.
Signature: an original signature is required from the Authorized Representative.
Drivers per form: up to 4 drivers may be added per form.
Requester Code: incorrect Requester Codes will cause rejection of the enrollment form; if no Requester Code is assigned yet, leave blank.
INF 1100: if the driver has a previously issued CA DL Number, or X number, please complete INF 1100 form.
Terminated drivers: it is the employer's responsibility to delete enrolled drivers immediately upon termination of employment.
| Question | Answer |
|---|---|
| Form Name | INF 1102 |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 50 |
| Avg. time to fill out | 9 min |
| Edition | Rev 7/2018 |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | INF 1102, INF1102, 1102 form, Form 1102, Employer Pull Notice Enrollment of Out-of-State Licensed Drivers |
| Official source | INF 1102 (Rev 7/2018), |
Dmv Inf 1102 Form isn’t the one you’re looking for?