Commercial Employer Pull Notice Program Agent Authorization INF 2110

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The INF 2110 form:

  • Is used only by EPN customers who will be utilizing a pre-approved EPN Agent.
  • Must be completed by both the EPN account holder, and the EPN Agent
  • Must be submitted before the EPN Agent is permitted to receive any driver license data.
  • Must be mailed to the address on form

Forms can be:

  • printed and completed by hand, or
  • printed and completed by typewriter, or
  • completed on-line and printed.

Employer Pull Notice Program Agent Authorization (INF 2110) (PDF)


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