Employer Pull Notice (EPN) Program Enrollment

Enrolling in the Employer Pull Notice (EPN) Program

Complete INF 1101 – Authorization for Release of Driver Record Information (EPN Form).

This form will be provided by Human Resources to eligible employees as part of the onboarding process.

For existing employees whose job duties change or who now need to drive for “one-off” reasons, complete a copy of the form and submit to Risk Management via Drop Box

  • Employee completes Section 1 (Driver Information) ONLY. EPN Administrator completes Section 2 (Authorized Representative Certification).
  • Per CA DMV, the form will take a minimum of (7) working days to process.