Electronic Pull Notice Program

CALIFORNIA DMV – EMPLOYER PULL NOTICE PROGRAM ENROLLMENT

Thank you for choosing National Safety Compliance, Inc. Virtual Private Network for enrolling and retrieving electronic Pull Notice (Motor Vehicle Reports) from the California DMV.

Need Requester Code ? Click Here
 

BILLING OPTION

Auto Pay    Monthly Invoice 
 

BILLING INFORMATION:
same as company information

LICENSING & BUSINESS IDENTIFICATION

Are your employees mandated to be enrolled in the Pull Notice Program Pursuant to Vehicle Code Section 1808.1(b)? No Yes
State your purpose for enrollment:

(Note any employee who is not mandated to be enrolled in the pull notice program must have a signed waiver (DMV Form INF 1101 or similar) on file at the employer’s worksite.)

Has your company previously been issued a requester code? No Yes

CERTIFICATION:

You must digitally agree and certify below to use this system:
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. The driver(s) I will enter into this system 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) or internal documents with similar language AND are currently in an employer/employee relationship AND frequently drive during the course of their employment.

 
Printed Name of Authorized representative
Signature of authorized representative

AGREEMENT:

Terms & Conditions: Terms & Conditions:
I agree I disagree