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Employer Pull Notice Program Forms

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Employer Pull Notice Program Forms

Adobe Acrobat Reader is required to view, fill out and print forms. To incorporate the latest accessibility features download of the latest version of Acrobat Reader may be required. If you have problems with Acrobat Reader or our PDF form, select PDF Troubleshooting.

After completing the required form, please mail it to the address on the form. The department cannot accept completed forms submitted by e-mail at this time.

Call (916) 657-6346 for assistance regarding any forms or for general questions. Please call between the hours of 8 a.m. and 5 p.m. Monday, Tuesday, Thursday and Friday, between 9:15 a.m. and 5 p.m. on Wednesday.

You need version 5 of Adobe Acrobat Reader to view, fill out and print this form. If you have problems with Acrobat Reader or our PDF form, click on Troubleshooting.

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