Non dot drug test form
[DOC File]DRUG AND ALCOHOL TESTING REQUEST FORM
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This form (PE 138), Employer Copy of Drug Test Custody & Control Form (Copy 4), and Breath. Alcohol Testing Form (where applicable) to be returned with the employee. SUPERVISOR’S NAME: _____ TESTING REQUIRED . 1 NON-DOT DRUG SCREEN (AML-5 Split Sample) 2. NON-DOT BREATH ALCOHOL TEST . 3.
What Is a Non DOT Drug Test? | Legal Beagle
Non-DOT Authorization to Obtain Specimen . Drug/Alcohol Testing. Reason for Test [Check One]: [ ] For Cause [ ] Return to Duty [ ] Follow-up. I authorize Occupational Medical Services (OMS) of the Montgomery County Government or any doctor, nurse, technician, laboratory personnel at any laboratory or medical center designated by Montgomery ...
[DOC File]DOT - CITY OF LITTLE ROCK
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Alcohol Drug Both. Test. ing. Authority: DOT/FTA Non-DOT. Test. Type: Pre-Employment Random Post-Accident. Reasonable Suspicion Return-to-Duty Follow-up. Observed Collection:YES NO. Author: Vicky Dunne Created Date: 03/13/2019 07:02:00 Title: FTA Suggested “Collection Site Drug Test Correction Affidavit” Form Subject: Pre-Employment ...
[DOC File]Montgomery County Government
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To ensure no disruption or delays in the turnaround time on drug test results, you must FAX the MRO copy of the Chain of Custody form immediately to the MRO. The MRO must have their copy of COC in order to verify and report all drug test results. The MRO fax # is 413-525-9009. Lab: Clinical Reference Laboratory (CRL) MRO: Dr. Richard Brody
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