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UC ANR EMPLOYER PULL NOTICE ADDITION OR DELETION OF DRIVERS completed form to: ANR Risk Services - Confidential Attn: EPN CHECK ONLY ONE PER FORM ADD DELETE Please type or print DATE: DEPARTMENT:.

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How to fill out the Inf 1112 online

Filling out the Inf 1112 form online is a straightforward process that can seamlessly facilitate the addition or deletion of drivers for the UC ANR Employer Pull Notice. This guide will provide you with clear and concise instructions to ensure that you accurately complete each section of the form.

Follow the steps to successfully complete the Inf 1112 form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Indicate the action you are taking by selecting either ‘ADD’ or ‘DELETE.’ Ensure that you only check one option per form.
  3. Enter the date in the designated field to reflect when you are filling out the form.
  4. Fill in the department name that you represent in the provided space.
  5. Provide the name of the department head or their designee in the relevant section.
  6. Input the contact person's name and title, ensuring it is accurate for any follow-up communications.
  7. Fill in the contact person's phone number so it can be used for inquiries related to this form.
  8. Select the class of license for the driver(s) from the options provided, marking the appropriate choice.
  9. Enter the driver's name, including their first name, middle initial, and last name.
  10. Input the California driver's license number for the driver being added or deleted.
  11. For each driver, indicate whether they will use a commercial class license in the course of employment by marking ‘YES’ or ‘NO’.
  12. If adding or deleting drivers, complete the certification under penalty of perjury, confirming that the listed drivers meet the required criteria.
  13. Ensure the original signature of the department head or designee is included at the end of the form.
  14. Finally, review all entered information for accuracy before saving changes, downloading, printing, or sharing the completed form as needed.

Complete the Inf 1112 form online today to manage your driver's enrollment efficiently.

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CHANGE OF ACCOUNT INFORMATION (INF 4) INSTRUCTIONS This form is to be completed when changing the address, adding or deleting a “Doing Business As” (DBA) name, changing the contact/ attention person(s), or changing/correcting the company name. Select all boxes that apply for the requested change.

Uses of a Declaration of Non-Ownership This form is a legal document that you can submit either in court, DMV, or any other government agency. In California, it is used by drivers to formally claim that they do not own a vehicle or that it was leased or rented when a parking or traffic violation occurred.

The Employer Pull Notice (EPN) program enables commercial and government organizations to monitor the driving records of employees who drive for them. By monitoring their employees' driving records, organizations can: Ensure that each driver has a valid driver's license. Recognize problem drivers or driving behavior.

If the motor carrier is a corporation, partnership, or LLC and vehicles in the motor carrier fleet require commercially licensed drivers, you must enroll in the EPN program.

INF 1125, REQUEST FOR OWN DRIVER LICENSE or IDENTIFICATION CARD (DL/ID) OR VEHICLE/VESSEL REGISTRATION (VR) RECORD.

How to Delete Drivers. Manage drivers directly from your online EPN account dashboard. If you don't have online access, complete a Commercial Employer Pull Notice Enrollment or Deletion of Drivers and Instructions (INF 1100) and mail it to the address on the form.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232