DL 946 is the Internet Security Agreement Certification that the California Department of Motor Vehicles (DMV) uses for the Provider Representative role in its Driving Under the Influence Internet Program Forms System. The representative lists the provider's details, accepts the user responsibilities printed on the form, and signs it together with the Program Director. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original form is published by the California DMV.
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What is DL 946?
Internet Security Agreement Certification Program Provider Representative (DL 946) is the California DMV form in which a Driving Under the Influence program provider's representative acknowledges and agrees to the security rules for using the DMV's Driving Under the Influence Internet Program Forms System.
The DMV collects information from Driving Under the Influence Program Providers and processes it to take the appropriate driver license eligibility action. That information comes from three forms the providers submit: the Proof of Enrollment Certificate (DL 107), the Notice of Completion Certificate (DL 101) and the Notice of Non-Compliance (DL 101A). DL 946 does not report any of those events. It is the signed commitment of the person who will use the system to protect that information.
The form has two sections. Section I identifies the Provider Representative (name, e-mail, telephone, ADP license number) and the provider (legal name, business name, Program Director, business location, telephone and e-mail). Section II lists 11 user responsibilities, covering access only when necessary, training before use, password standards, confidentiality, reporting suspicious activity and disclosure only when relevant. It ends with a certification under penalty of perjury under the laws of the State of California, and signature blocks for the Provider Representative and the Program Director.
The form warns that failing to follow the procedures may lead to disciplinary action under applicable laws and regulations, civil and criminal prosecution under applicable statutes, and disciplinary action by the provider up to and including termination of employment.
Who needs to file DL 946?
The form is for the Provider Representative of a Driving Under the Influence program provider: an employee of the provider who will use the Driving Under the Influence Internet Program Forms System to complete transactions on the provider's behalf. The representative completes Section I with the provider's details and signs Section II.
The Program Director of the provider also signs. The form has a separate signature and date line for the Program Director, and Section I asks for the Program Director's name.
The form describes access only for an employee of the provider, and only when necessary to complete the provider's transactions. It sets responsibilities for users in the Provider Representative role. It does not describe forms for other roles, and it does not apply to people who are not provider employees. Questions about the system go to the Provider Administrator, as the form directs.
When to file DL 946
The form sets no due date of its own. It is the representative's written acknowledgment of the rules for using the Driving Under the Influence Internet Program Forms System, so it belongs with the start of that role. Item 2 of the user responsibilities requires the representative to complete the system's online instruction or classroom training before using it.
Other timing rules printed on the form concern the password, not the certification: change the initial password at first logon, change it when notified that it will expire (it expires every 60 days), and contact the Administrator after three consecutive failed logons or if the password was disabled after 90 days of inactivity. Notify the Administrator when your duties end or you leave the provider, so the user name and password can be disabled.
How to fill out DL 946
Enter the representative's contact details
In Section I, enter the Provider Representative Name, the Provider Representative E-mail Address and the Provider Representative Telephone Number, using the area code in the parentheses.
Enter the representative's ADP license number
Write your number in the Representative ADP License Number box, next to the Provider Legal Name box.
Enter the provider and Program Director names
Fill in the Provider Legal Name, the Provider Business Name and the Program Director Name.
Enter the provider's business location
Enter the Provider Business Location, City and ZIP Code. The State box is pre-printed as CA.
Enter the provider's phone and e-mail
Enter the Provider Business Telephone Number and the Provider E-mail Address in the last row of Section I.
Read the user responsibilities
Read Section II, items 1 to 11, before signing. They cover access, training, passwords, confidentiality, reporting and disclosure, and the closing paragraph explains the consequences of non-compliance.
Complete the executed-at line
Under the perjury certification, enter the City, County and State where you are signing.
Sign as Provider Representative
Enter the date and sign on the Signature of Provider Representative line.
Get the Program Director's signature
The Program Director enters the date and signs on the Signature of Program Director line.
Review, download and keep the original
Check that Section I is complete and both signatures are in place, then download or print the completed PDF from FillingPDF. Keep the signed original on file at the Program Provider worksite.
How to submit DL 946
The form prints one handling instruction and names no mailing address, portal or fee: the original certification must be kept on file at the Program Provider worksite and made available upon request to the Department of Motor Vehicles, Audit Staff.
- Sign: the Provider Representative and the Program Director each sign and date the original.
- Keep on file: store the signed original at the provider's worksite.
- Provide on request: give it to the DMV Audit Staff when they ask for it.
For questions about the system, the form tells the representative to contact the Provider Administrator. FillingPDF lets you fill out and download the PDF; what happens to the signed form follows the instructions printed on it.
Common mistakes to avoid
- Signing without reading the 11 user responsibilities; the form states that signing means you have read, understand and agree to its contents and the penalties for non-compliance.
- Leaving the Program Director's signature and date blank; the form has a separate signature line for the Program Director.
- Not keeping the signed original at the Program Provider worksite, where it must be available to DMV Audit Staff on request.
- Using the system before completing the online instruction or classroom training that item 2 requires.
- Sharing a password, writing it down or displaying it in plain text; item 6 requires keeping the user name and password confidential.
- Leaving a computer unlocked and unattended while logged on to the system, which item 6c says to prevent.
- Not telling the Administrator when your duties change or you leave the provider, so the user name and password stay active; item 8 requires notice.
- Entering a password that does not meet the standard: at least eight and no more than 20 characters, with at least five alpha characters and one numeric character.
Frequently asked questions
What is DL 946?
DL 946 is the California DMV's Internet Security Agreement Certification for the Program Provider Representative role. The representative lists provider details, agrees to the user responsibilities for the Driving Under the Influence Internet Program Forms System and signs under penalty of perjury.
Who has to sign DL 946?
The Provider Representative and the Program Director both sign. The form has a date and signature line for each. The representative is an employee of the DUI program provider who uses the Internet Program Forms System for the provider's transactions.
Where do I send DL 946?
The form gives no address to send it to. It says the original certification must be kept on file at the Program Provider worksite and made available upon request to the Department of Motor Vehicles, Audit Staff.
Can I fill out DL 946 online?
You can complete the PDF online on FillingPDF and download or print it. FillingPDF does not send the form to the DMV and is not affiliated with it; the signed original stays on file with the provider, as the form states.
What are the password rules on DL 946?
The password must have 8 to 20 characters, with at least five alpha characters and one numeric character. You change the initial password at first logon, and it expires every 60 days. After 90 days of inactivity it is disabled.
What happens if I do not follow the DL 946 security rules?
The form says non-compliance may lead to disciplinary action under applicable laws and regulations, civil and criminal prosecution under applicable statutes, and discipline from the provider up to and including termination of employment.
Which DMV forms does the DUI Internet system handle?
Three: the Proof of Enrollment Certificate (DL 107), the Notice of Completion Certificate (DL 101) and the Notice of Non-Compliance (DL 101A). DL 946 covers none of these; it certifies the security duties of the person who uses the system.
What should I do if I forget my password or leave the provider?
Contact your Administrator if you forget your password, let it expire, fail to log on three consecutive times or were disabled for 90 days of inactivity. Also notify the Administrator when your duties end or you leave, so your access is disabled.
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