Form INF 1106 at a glance
What it is: INF 1106 is the Commercial Requester Account Application.
Who signs: Sign on the line marked SIGNATURE OF AUTHORIZED REPRESENTATIVE.
Where and when to file: Mail it to DMV, Account Management Unit - MS H221 P.O. Box 944231 Sacramento, CA 94244-2310.
A filled-in Form INF 1106 example: an insurance agency applies for an account
How to fill out Form INF 1106, box by box
Check One Only: Original, Renewal or Change(s) to existing Account
Check One Only: Original, Renewal, or Change(s) to existing Account -list ALL existing Requester Code(s) (REQUIRED).
Original and renewal applications must complete all sections; changes to existing accounts complete only applicable sections.
Section 1 Business Information
Enter the BUSINESS NAME and the TELEPHONE NUMBER.
Enter the DBA (FICTITIOUS BUSINESS NAME), the WEBSITE ADDRESS (IF NONE, SO STATE) and the FAX NUMBER.
Enter the CONTACT PERSON NAME/TITLE (INDIVIDUAL RESPONSIBLE FOR THE ACCOUNT), the E-MAIL ADDRESS and the TELEPHONE NUMBER.
Enter the BUSINESS ADDRESS, CITY, STATE and ZIP CODE.
Check the box for IF SAME AS BUSINESS ADDRESS; if not, enter the MAILING ADDRESS, CITY, STATE and ZIP CODE.
Section 2 Business Identification
Enter the FEDERAL EMPLOYER ID# OR STATE TAX ID and the CORPORATION, LLC, LLP, LP ID#, IF APPLICABLE.
Enter the STATE OF ISSUANCE.
Fill in OTHER (PLEASE IDENTIFY).
Section 3 Business Type
SECTION 3 - BUSINESS TYPE lists Attorney/Law Office, Auto Auction Dealer (Vehicle/Vessel), Dismantler (Vehicle/Vessel), Distributor (Vehicle/Vessel), Financial Institution/Lender, Healthcare Provider, Independent Institution of Higher Education, Insurance Agent/Agency/Broker, Insurance Company, Lessor/Retailer (Vehicle/Vessel), Lien Sale, Manufacturer (Vehicle/Vessel), Media, Private Investigator, Process Server, Registration Service (Vehicle/Vessel), Rental Company (Vehicle/Vessel), Salvage Company (Vehicle/Vessel) and Other: (Please Identify).
Section 4 Professional/Occupational License Information
Enter the PROFESSIONAL OR OCCUPATIONAL LICENSEE NAME, the LICENSE NUMBER, the EXPIRATION DATE (MONTH/YEAR) and the ISSUING AUTHORITY.
Section 5 Commercial Requester Account History and Use
1. Has anyone directly affiliated with any party identified in Section 1 applied for, had, or have a Commercial Requester Account? Yes No Same as Section 1.
If yes (Yes No Same as Section 1), print Business Name and/or DBA and Agreement/Account or Requester Code #, if known.
b. Has anyone been subject to a DMV administrative action regarding a Commercial Requester Account? Yes No Provided with Prior Renewal. If yes, attach a separate sheet that includes the type of action, the name of the person and/or business, the reason and date of incident.
2. Has anyone having access to DMV information pursuant to this Application been convicted of any crime for a violent act, stalking, computer fraud, or for unauthorized disclosure, access or distribution of information? Yes No. If yes, attach a separate sheet that includes the name of the person, the specific code violation, conviction date, court, and action taken.
Section 6 Record Access Method
1. Will information be received via a DMV approved Service Provider? Yes No. If “Yes”, is the access method on-line? (Instant response) Yes No. If “No”, please provide a mailing address for billing if different than Section 1.
Section 7 Information Type and Use/Purpose
In SECTION 7 - INFORMATION TYPE AND USE/PURPOSE, list each use/purpose separately.
For each use, Type: VR DL OL FR, Residence address: Yes No and the PURPOSE for which the information will be used.
Section 8 Acknowledgement and Certification Statement
In SECTION 8 - ACKNOWLEDGEMENT AND CERTIFICATION STATEMENT, you acknowledge that you have received, read, and agree to the Commercial Requester Account Terms and Conditions (INF 1230).
You certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and you further consent to receive service of process pursuant to the provisions of California Vehicle Code Section 1808.21(c).
Enter EXECUTED AT CITY, COUNTY and ON (DATE).
Sign at SIGNATURE OF AUTHORIZED REPRESENTATIVE, then enter the PRINTED NAME, TITLE and TELEPHONE NUMBER.
More rules for Form INF 1106
Information provided on this form is Public Record, unless expressed otherwise in statute.
Any confidential information will not be released to the general public.
Applicant must retain a copy of the application for their records.
Common questions about Form INF 1106
Is there a penalty?
The use, or unauthorized disclosure, of departmental information for a purpose other than that for which the applicant applied, and was approved by the Department, is prohibited and subject to criminal prosecution, including fines and imprisonment (California Vehicle Code Section 1808.45). Obtaining departmental information under false representations, the distribution of restricted information, or use of information for a purpose not specified by the applicant and approved by the Department, may result in suspension/revocation of the applicant's access privileges and civil penalties up to $100,000 (California Vehicle Code Section 1808.46) (checked October 22, 2026).
Sources
[1] Form INF 1106 (REV. 11/2025), Commercial Requester Account Application, California Department of Motor Vehicles (the Official source link on this page).