CA DMV Form INF 2110. Employer Pull Notice Agent Authorization form

Form INF 2110 is used to authorize an individual as an Employer Pull Notice (EPN) agent. This form is typically used by employers who need to designate someone within their organization to administer the EPN program on their behalf.

The purpose of this form is to grant authority to an authorized agent to access and obtain driving records of employees for employment-related purposes such as commercial driver licensing requirements or driver safety programs. The form includes sections where the employer provides their contact information, details about the authorized agent, and signs the authorization statement.

Accuracy in providing the required information is crucial to ensure that the designated agent receives the necessary authorization. The completed form should be submitted to the DMV as instructed in the form's guidelines.

An example use case for this form would be a transportation company designating an HR representative as an EPN agent responsible for monitoring and assessing driver records to ensure compliance with safety regulations. By completing Form INF 2110, the employer grants the designated agent access to the driving records of employees for authorized employment purposes.

There may not be direct alternatives or similar forms specifically addressing the Employer Pull Notice Agent Authorization within the DMV context.