EXEC 5555B Form – The EXEC 5555B form is an essential document for businesses participating in the California Department of Motor Vehicles (DMV) Business Partner Automation (BPA) Program. Also known as the Business Partner Automation Program Information Security Pre-Implementation Checklist – Second-Line Business Partner, this PDF helps ensure that second-line business partners meet strict information security standards before accessing DMV resources.
If you’re a second-line business partner (SLBP), first-line service provider, or preparing a BPA application, this guide explains everything you need to know about the EXEC 5555B form, its purpose, required sections, and how to complete and submit it correctly.
What Is the EXEC 5555B Form?
The EXEC 5555B is an official California DMV form titled Business Partner Automation Program Information Security Pre-Implementation Checklist (Second-Line Business Partner). Originally revised in November 2002 (NEW 11/2002), it remains the current required checklist for SLBPs in the BPA program.
It functions as a detailed security questionnaire and checklist that applicants must complete and submit as part of their BPA application package. The form sits on top of the supporting documents and serves as the cover sheet for your security documentation package.
Purpose of the EXEC 5555B Business Partner Information Security Checklist
The primary purpose of the EXEC 5555B form is to verify that second-line business partners maintain a secure environment for handling DMV data, resources, and assets. The DMV requires administrative measures and minimum security standards to protect sensitive vehicle and registration information before granting access.
By completing this checklist, businesses demonstrate compliance with physical security, access controls, data retention, destruction policies, and incident reporting procedures. This protects both the DMV and business partners from security breaches.
Who Must Complete the EXEC 5555B Form?
The EXEC 5555B is specifically required for Second-Line Business Partners (SLBPs). These are authorized partners who receive DMV information indirectly through a First-Line Business Partner Service Provider (FLBPSP) to process vehicle registration and titling transactions.
- First-Line Business Partners and First-Line Service Providers use the companion form EXEC 5555A.
- SLBPs (such as certain auto dealers, service providers, or authorized agents) must submit EXEC 5555B along with supporting documents.
- The form must be signed under penalty of perjury by an authorized representative of the business.
All new motor vehicle dealers are required to participate in the BPA program, making this form a key part of the application process.
Key Sections of the EXEC 5555B Form
The checklist is divided into clear sections that require narratives, diagrams, policies, and supporting materials. Here’s what you must provide:
- General Security Information: Submit one copy each of your security policies/Information Security Program policies, user guides/processing manuals, and training materials for physical and electronic access. Describe your process for identifying, preventing, documenting, and reporting security incidents to the DMV.
- Resource and Asset Physical Security: Provide a floor plan and detailed narrative covering facility security, intrusion prevention, entry controls, workstation and printer locations, storage of DMV assets (safes/file cabinets), public vs. authorized areas, alarm/surveillance systems, and securing of doors/windows.
- Access Security: Include a narrative explaining how users are identified, authenticated, and authorized to access DMV BPA processes, resources, and assets.
- Retention and Destruction Security: Describe how DMV information is secured during retention (electronic or physical) and how it is rendered unreadable, unusable, and unrecoverable after use or when destruction is required.
- Declaration Statement: Certification under penalty of perjury with business name, printed name, signature, and date of the authorized representative.
Place the completed EXEC 5555B form on top of your entire package when submitting.
Step-by-Step Guide to Completing the EXEC 5555B PDF
- Download the official form using the link at the end of this article.
- Gather all required supporting documents (policies, manuals, floor plan, narratives).
- Complete the business contact information (name, telephone, address).
- Prepare detailed written narratives and diagrams for each section.
- Review everything for accuracy and completeness.
- Have an authorized representative sign the declaration under penalty of perjury.
- Place EXEC 5555B on top of the package.
Tip: Clearly label each document with the corresponding section number from the checklist to make review easier for DMV staff.
How to Submit the EXEC 5555B Form?
Submit the completed EXEC 5555B checklist and supporting package as part of your overall BPA application. Applications are typically mailed or sent via private courier to the DMV BPA Program Administrator. Refer to the current Business Partner Automation Program page on the DMV website for exact submission instructions and required fees.
The application is valid for one year from the date first received by the DMV.
Download the Official EXEC 5555B Form PDF
Direct Download Link (Official California DMV):
https://www.dmv.ca.gov/portal/uploads/2025/05/EXEC-5555B-N11-2002-ASB-WWW.pdf
This is the most current version hosted directly on the DMV website. Always use the official source to ensure you have the latest form.
Related DMV Forms for Business Partners
- EXEC 5555A – Pre-Implementation Checklist for First-Line Business Partners/Service Providers
- EXEC 201X – Information Security and Disclosure Statement (Firm)
- REG 4019 – Statement of Personal History
- REG 4024 – Business Partner Automation Application (First-Line)
- REG 4026 – BPA Modification Application (for address changes, etc.)
These forms often accompany EXEC 5555B in a complete BPA application package.
Why Information Security Matters in the DMV BPA Program?
The BPA program allows remote processing of sensitive vehicle data. The EXEC 5555B ensures every partner implements controls that prevent unauthorized access, data breaches, or misuse. Compliance protects your business from penalties, contract termination, or legal issues under California law.
Frequently Asked Questions (FAQ) About EXEC 5555B
Is the EXEC 5555B form still current?
Yes. It is still the required checklist referenced on the official DMV BPA program page and in California Code of Regulations.
Can I submit this form electronically?
Check the latest instructions on the DMV Business Partner Automation Program page; most submissions are via mail or courier.
What happens if I don’t complete all sections?
Your application may be delayed or rejected until all security requirements are met.
Who signs the declaration?
An authorized or designated representative of the business, certifying under penalty of perjury.
For the most up-to-date guidance, visit the official California DMV Business Partner Program page and use the direct PDF link provided above.
Completing the EXEC 5555B form correctly is a critical step toward becoming an approved second-line business partner in California’s DMV BPA program. Prepare your documents thoroughly, follow the checklist exactly, and you’ll help ensure a smooth approval process while maintaining the highest standards of information security.