COMMERCIAL EMPLOYER PULL NOTICE ENROLLMENT OR DELETION OF DRIVERS A Public Service Agency CHECK ONLY ONE PROCESS PER FORM ENROLL OR DELETE Please type or print in ink EMPLOYER REQUESTER CODE CURRENT ADDRESS DATE TELEPHONE CITY STATE A - Class A B - Class B Department of Motor Vehicles Information Services Branch Employer Pull Notice H265 P.
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How to fill out the Pull Notice Form online
This guide provides a step-by-step approach to completing the Pull Notice Form online. By following the instructions, you will ensure that the enrollment or deletion of drivers is handled efficiently and correctly.
Follow the steps to complete the Pull Notice Form online.
- Click the ‘Get Form’ button to access the form and open it in the appropriate editor.
- Indicate whether you want to enroll or delete drivers by checking only one box on the form.
- Provide your employer name in the designated field, ensuring it is clear and accurate.
- Enter your requester code, which is necessary for processing your request.
- Fill in the date of application where specified.
- Include your telephone number for any required follow-up communications.
- Complete your current address, including city, state, and ZIP code.
- Select the appropriate class license for each driver you are enrolling or deleting by marking the relevant boxes.
- Input the California driver license or temporary 'X' number for each driver being enrolled or deleted.
- List the last name only of each driver in the specified section.
- Provide the contact person’s name and title, ensuring all details are filled out clearly.
- Use the 'Remarks' field for any notes or additional information you may want to include, with a limit of 21 spaces.
- Count and write the total number of drivers you are enrolling in the specified area.
- If you are deleting drivers, write the total number in the respective field; there is no fee for deletions.
- Sign and date the form, certifying that the information provided is accurate and complete.
- Once all sections are completed, save your changes, then download, print, or share the form as necessary.
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