Form INF 1100 at a glance
What it is: INF 1100, Commercial Employer Pull Notice Enrollment or Deletion of Drivers, is a State of California Department of Motor Vehicles form.
Who signs: An original signature is required from the Authorized Representative.
All Employer Pull Notice (EPN) applicants must complete this enrollment form in its entirety to avoid processing delays.
A filled-in Form INF 1100 example: a trucking company enrolls two drivers
How to fill out Form INF 1100, box by box
Check only one process per form
Select only one option per form: check only one process per form, Enroll, Delete or Change Remarks.
Enrollments, deletions, and changes to remarks must be submitted on separate forms.
Common mistake: The form will be returned unprocessed if enrollments and deletions are both submitted on the same form.
Please type or print in ink: the enrollment form must be completed clearly in ink, by typewriter, or online then printed, and mailed.
Section 1 - Employer information
Employer Information. Company Legal Name/Sole Proprietor Name: List the legal name of the company or sole proprietor.
Mailing Address: Provide the company's full mailing address with city, state, and zip code on the EPN account.
Requester Code: Provide assigned EPN Requester Code issued by the DMV (if no Requester Code assigned yet leave blank).
Common mistake: Incorrect Requester Codes will cause rejection of the enrollment form.
Telephone Number: Provide the business telephone number.
Contact Person(s): Person(s) within the company who can contact EPN regarding the company's EPN account.
Section 2 - Driver information
California Driver License or “X” Number: Provide the complete CA DL Number, or the “X” number assigned to the driver by CA.
Driver's Full Last Name Only: Provide the true full legal last name as it appears on the driver's DL.
Change Remarks: Place an X next to the driver information, when requesting a change be made to the remarks currently on file.
“Remarks” Column: Optional field for employers to add information to the Driver Record Report (DL 414), for example: terminal site, vehicle plate/VIN number, employee identification number, or out-of-state driver license number.
In the Remarks column, the driver's name, Date of Birth, or Social Security Numbers will not be keyed (maximum 21 characters).
Total for Added/Deleted Drivers: Provide the total number of drivers added/deleted on the form.
Pay the required $5 fee for each enrolled driver: attach a check or money order to the form, made out to the California Department of Motor Vehicles (DMV) and submitted with this enrollment form (checked November 2, 2026).
Total Drivers Added: $5 Enrollment Fee due for each driver added (checked November 2, 2026).
All subsequent invoices for this account will be sent to the company billing address on file with the Automated Billing Information Services (ABIS) unit.
Section 3 - Certification (original signature required)
An original signature is required from the Authorized Representative.
Original Signature Required: This section must be signed by the Authorized Representative.
Printed Name: The printed name of the Authorized Representative signing the form; must be the individual within the company who is responsible for managing the EPN account.
Date: Provide date the enrollment form is being signed.
Under penalty of perjury under the laws of the State of California, you certify (or declare) that it is true and correct.
The driver(s) listed are (1) mandated for enrollment under California Vehicle Code §1808.1. OR (2) have signed an Authorization for Release of Driver Record Information form (INF 1101).
More rules for Form INF 1100
DMV information may not be shared, and must be used in accordance with California Vehicle Code §1808.1.
Business entities are responsible for destroying DMV record information containing personal information, such as name, driver license or identification number, or physical characteristics, etc. no longer required for their business purposes by shredding, erasing, or modifying the personal information to make it unreadable or undecipherable as provided in Civil Code §§1798.80, 1798.81, and 1798.82.
Keep a copy of the completed form for your records.
If your situation is different
You are deleting drivers
It is the employer's responsibility to delete enrolled drivers immediately upon termination of employment. Total Drivers Deleted (No Fee).
You request a driver record for a prospective hire or casual driver
An employer may also request a copy of a driver record for a prospective hire or casual driver by submitting a Request for Driver License/ Identification Card Status and Record Information (INF 1119).
There is a $5 fee for each driver request (checked November 2, 2026).
This request must be submitted to the California Department of Motor Vehicles, Information Release Unit, MS G199 P.O. Box 944247, Sacramento, CA 94244.
Original signature is required.
You are changing the EPN account, such as the mailing address or contact information
Any changes made to the EPN account (e.g. mailing address or contact information) must be submitted to EPN on a Notice of Change form (INF 4).
The application is received in the unit
For processing time, please allow up to thirty (30) days from the date the application is received in the unit.
A Driver Record Report (DL 414) will be generated and mailed to the employer within ten (10) business days from the date of enrollment for newly enrolled drivers, and upon action/activity or annually for currently enrolled drivers.
Common questions about Form INF 1100
Where do I file it?
Mail the completed form(s) with original signature and related fees to: Department of Motor Vehicles EPN Program - H265 P.O. Box 944231 Sacramento, CA 94244-2310. Overnight Address: Department of Motor Vehicles EPN Program - H265 2415 First Avenue Sacramento, CA 95818
Where to get help with Form INF 1100
If you have any questions, please call (916) 657-6346.
For additional information regarding alternative available options for requesting printouts (e.g. Service Providers or Electronic Secure File Transfer), please call the EPN unit (916) 657-6346.
Sources
[1] Form INF 1100 (REV. 8/2018), Commercial Employer Pull Notice Enrollment or Deletion of Drivers, State of California Department of Motor Vehicles (the Official source link on this page).