DL 101S Form – The DL 101S Form, officially titled DUI Program Signatory Authority, is a critical document issued by the California Department of Motor Vehicles (DMV). DUI program owners and directors use this form to add or delete authorized employees who can order blank DUI program forms (specifically DL 101 Notice of Completion certificates and DL 107 Proof of Enrollment forms) and sign completed versions on behalf of the licensed DUI program.
This form ensures only properly designated staff handle sensitive DUI-related documentation, maintaining compliance with California regulations under Title 13 of the California Code of Regulations § 120.00. The current version (Revision 12/2010) remains the official form available directly from the DMV.
Why Is the DL 101S Form Important for DUI Programs?
California DUI programs, licensed by the Department of Health Care Services (DHCS), must strictly control access to official DMV forms like the DL 101 and DL 107. The DL 101S establishes signatory authority, limiting who can:
- Request and receive blank certificates
- Sign completed certificates that prove program enrollment or completion
Without a valid DL 101S on file, DUI programs risk delays in ordering forms or processing participant records. The form also protects program directors by formally assigning responsibility for employee actions when ordering or signing these documents.
Who Needs to Complete the DL 101S Form?
Only the DUI Program owner or director completes and signs the DL 101S. This form is required when:
- Adding new authorized employees
- Deleting employees whose authority has ended
- Updating signatory lists for ordering or signing forms
At any time, a program may authorize:
- The owner/director plus one additional employee to request blank DL 101 and DL 107 forms
- The owner/director plus two additional employees to sign completed certificates
The form must be submitted at least five (5) days before the effective date of any addition or deletion.
How to Download the Official DL 101S PDF?
You can download the official DL 101S Form directly from the California DMV website at no cost:
Direct Download Link:
https://www.dmv.ca.gov/portal/uploads/2025/05/DL-101S-R12-2010-ASB-WWW.pdf
This is the most current version listed on the official DMV Forms page. Always use the PDF from dmv.ca.gov to ensure compliance—third-party copies may be outdated or invalid.
Step-by-Step Guide to Filling Out the DL 101S Form
Follow these instructions exactly as outlined on the form to avoid processing delays:
- Program Information — Enter the full program name, program license number (issued by DHCS), and the program location address exactly as listed in the DHCS Directory of Program Providers.
- Owner/Director Section — Print the owner/director’s name and have them sign to accept full responsibility for authorized employees’ actions.
- Authorized Employees – Request Blank Forms — List employee names, obtain their signatures (on the reverse side), check “ADD” or “DELETE,” and enter the effective date.
- Authorized Employees – Sign Completed Forms — Repeat the process for employees authorized to sign DL 101 and DL 107 certificates.
- Program Signature — Sign within the designated lines in the “PROGRAM SIGNATURE” section.
Important Note: The DMV will not process incomplete forms. All required fields, signatures, and dates must be provided.
Where to Submit the Completed DL 101S Form?
Mail the completed DL 101S to:
Department of Motor Vehicles
Forms and Accountable Items Section (FAIS) — MS G202
P.O. Box 932382
Sacramento, CA 94232-3820
Processing typically occurs after the five-day advance notice period. The DMV will then mail authorized forms or confirmation to the program’s address of record.
Related DUI Program Forms (DL 101 and DL 107)
The DL 101S works in tandem with:
- DL 101 – Notice of Completion certificates
- DL 107 – Proof of Enrollment forms
Only employees listed on an approved DL 101S may order or sign these documents. Programs request blanks using the separate DL 101R form after signatory authority is established.
Frequently Asked Questions About the DL 101S Form
Can I fill out the DL 101S online?
No. The form must be printed, completed by hand, signed, and mailed to the DMV.
How often do I need to update the DL 101S?
Submit a new or updated form whenever you add, delete, or change authorized employees.
What happens if I submit the form late?
The DMV requires at least five days’ notice before the effective date. Late submissions may delay authorization.
Is the DL 101S form free?
Yes. Download it directly from the official DMV website.
Get the Official DL 101S Form Today
DUI program operators in California rely on the DL 101S Form to maintain smooth operations and full compliance with DMV and DHCS requirements. Download the official PDF now and ensure your authorized staff can legally order and sign essential DUI program documents.
For the most up-to-date information, always visit the California DMV Forms page. Proper use of the DL 101S helps protect your program, your staff, and the participants you serve.