EPN Program Employer Account Changes

To view a list of frequently asked questions and answers provided by the California EPN authority, click California EPN FAQ .

Forms Needed

Steps to Follow

If an employer needs to update/change its account information on file with the EPN Program office, it should do the following:

  1. Complete Form INF 4
  2. After completing the above form, please forward the original copies with the "wet" signature by mail to:
    iiX
    Attn: Government Relations
    1716 Briarcrest Drive, Suite 200
    Bryan, TX 77802

Once the form is received, iiX will forward the original, by Federal Express Standard, to the EPN Program office for processing.

This is to be used when any changes occur to the company name, address, phone number or contact person.

The INF 4 must be submitted by the employer within 10 days of the change.

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