DL 101R Form – The DL 101R Form is the official California DMV document titled “Request for DUI Program Forms.” Licensed DUI program providers use it to order essential accountable forms like the DL 107 (Proof of Enrollment Certificate) and DL 101 (Notice of Completion Certificate). These forms help participants comply with court-ordered DUI programs and restore driving privileges.
This article provides a complete, up-to-date guide to the DL 101R form, including its purpose, who needs it, step-by-step completion instructions, and the direct official PDF download link.
What Is the DL 101R Form?
The DL 101R is a specialized request form issued by the California Department of Motor Vehicles (DMV) exclusively for licensed Driving Under the Influence (DUI) program providers. It allows authorized program staff to request batches of pre-numbered, accountable DUI program forms in packages of 50.
Key forms requested via DL 101R include:
- DL 107 — Proof of Enrollment Certificate (used when a participant enrolls in a DUI program).
- DL 101 — Notice of Completion Certificate (issued upon successful program completion to verify compliance with DMV and court requirements).
The form also handles replacement requests for forms that were damaged in shipment, manufactured with defects, or shipped but never received. Replacements incur no charge when properly documented with control numbers.
Revision date: DL 101R (REV. 12/2010). The form remains the current official version as listed on the DMV website.
Who Needs the DL 101R Form?
Only authorized employees of California-licensed DUI programs may use the DL 101R. This includes:
- Program directors or administrators
- Designated staff with signatory authority (often documented via the related DL 101S form)
Individual drivers, participants, or the general public cannot use this form. DUI programs must submit it to obtain the official, sequentially numbered certificates required for electronic or paper submission to the DMV. California regulations (Title 13 CCR § 120.00) mandate its use for purchasing or replacing completion certificates.
Official DL 101R Form PDF Download
Direct official download (hosted by the California DMV):
This is the exact, current version available directly from the DMV Forms page. Always download from the official DMV website to ensure you have the latest authenticated document.
Step-by-Step Guide to Completing the DL 101R Form
Follow these instructions exactly—incomplete forms will not be processed:
- Check the appropriate box at the top:
- Proof of Enrollment – DL 107
- Notice of Completion Certificate – DL 101
- Replacement for Damaged, or Shipped, but not Received Forms
- Enter program details:
- Program Name
- Program License Number (issued by the Department of Drug and Alcohol Programs – DADP)
- Program Location (full address of record, city, state, ZIP – must match DADP’s Directory)
- Provide authorized employee information:
- Authorized Employee’s Name
- Authorized Employee’s Signature (required in two places)
- Specify forms requested:
- Quantity (issued only in packages of 50)
- For DL 101 only: Amount of enclosed check (if purchasing new forms)
- For replacement requests only:
- Certify under penalty of perjury that the forms were damaged in manufacture/shipment or shipped but not received.
- List the control numbers of the affected forms (found at the bottom right of each DL 101 or DL 107).
- Sign and date where indicated.
Important note: DL 107 packages are marked “Not Applicable” for certain payment fields. All fields marked with an “X” must be completed.
Where to Submit the Completed DL 101R Form?
Mail the completed form to:
Department of Motor Vehicles
Forms and Accountable Items Section — MS G202
P.O. Box 932382
Sacramento, CA 94232-3820
Do not fax or email. Include any required payment (check only for new DL 101 forms). Replacements are free when control numbers are provided.
Related DUI Program Forms You Should Know
- DL 101 — Notice of Completion Certificate (proof that a participant finished the program).
- DL 107 — Proof of Enrollment Certificate (required for restricted licenses or court compliance).
- DL 101S — DUI Program Signatory Authority (used to add/remove authorized signers for DL 101R requests).
- DL 804 — Participant’s Certification of Enrollment or Completion (used when electronic submission is involved).
All these forms are part of the secure, accountable system that ensures accurate reporting to the DMV for license actions.
Why Proper Use of the DL 101R Matters for DUI Programs?
DUI programs rely on these forms to:
- Prove participant enrollment and completion to the DMV and courts.
- Help drivers restore suspended licenses after DUI convictions.
- Maintain compliance with state licensing requirements.
Missing or incorrect submissions can delay participant progress, affect program operations, and trigger regulatory issues. Using the official DL 101R ensures forms are authentic and trackable via their control numbers.
Official DMV Resources for DUI Program Providers
For the most current information:
- Visit the California DMV Forms Page
- Review the DUI Provider Program Forms section
- Contact the DMV Forms and Accountable Items Section for questions about orders
Pro tip: Bookmark the official PDF link provided above and always verify the revision date before use.
This guide is based entirely on current official California DMV sources and regulations as of 2026. For personalized assistance, licensed DUI programs should contact the DMV directly.