Pull Notice Form PDF Details

Are you looking for the proper paperwork to ensure that your employees remain compliant with applicable laws? The Pull Notice Form is an essential part of any workplace safety protocol and helps protect against legal liabilities. In this blog post, we'll provide a comprehensive overview of why pull notice forms are important and how they should be used in order to effectively protect organizations from potential risks. We'll also take a step-by-step approach through the process of creating one, so that you can be certain all staff members have signed off on their responsibilities when working with or near equipment and other materials within the workplace. Read on to find out more about why implementing pull notices is key for protecting businesses from any potential liabilities!

QuestionAnswer
Form NamePull Notice Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespull notice, form employer pull notice, how to dmv pull notice, california dmv pull notice

Form Preview Example

STATE OF CALIFORNIA

DEPARTMENT OF MOTOR VEHICLES®

A Public Service Agency

INFORMATION SERVICES BRANCH

EMPLOYER PULL NOTICE

CHANGE OF ACCOUNT INFORMATION

SUBMIT WITHIN 10 DAYS OF CHANGE

SECTION A — CURRENT INFORMATION ON FILE

COMPANY NAME

DBA

MAILING ADDRESS

REQUESTER CODE NUMBER

TELEPHONE NUMBER

( )

CONTACT PERSON

ATTENTION (MAIL TO)

EMAIL ADDRESS

SECTION B — REQUESTED CHANGES TO THE EMPLOYER PULL NOTICE ACCOUNT

IF YOUR BUSINESS IS UNDER NEW OWNERSHIP, A NEW APPLICATION IS REQUIRED. CALL FOR ADDITIONAL INFORMATION.

EMAIL ADDRESS

MAILING ADDRESS

CONTACT PERSON

TELEPHONE NUMBER

( )

ATTENTION (MAIL TO)

I understand that this information is provided for the lawful conduct of this business and the pursuit of its interest and that any misuse will result in both cancellation of the requester number and refusal of subsequent application for requester number.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

AUTHORIZED PERSON’S SIGNATURE

X

Return completed form to: DEPARTMENT OF MOTOR VEHICLES Employer Pull Notice Unit

P. O. Box 944231

Mail Station H-265 Sacramento, CA 94244-2310 (916) 657-6346

“Upon request, this document can be produced in Braille or large print.”

INF 4 (REV. 6/2011) WWW