FMCSA Return To Duty DOT Drug and Breath Alcohol Test

$224.00

Return To Duty

Breath Alcohol Test – DOT and DOT 5 Panel Drug Test

FMCSA includes reporting negative RTD result to the FMCSA Drug and Alcohol Clearinghouse. Must select Direct Observation when placing your order.

*** REQUIRES DRIVER TO PROVIDE SAP REPORT AUTHORIZING RTD TEST PRIOR TO PLACING ORDER.

 

This field is hidden when viewing the form

Test Ordered

This field is hidden when viewing the form
This field is hidden when viewing the form
This field is hidden when viewing the form
This field is hidden when viewing the form

Donor Information

Donor Name(Required)
MM slash DD slash YYYY
FOR FMCSA, PROVIDE CDL NUMBER AND STATE OF ISSUANCE.
Direct observation fee will be added to this order
Direct observation means that a same-sex observer goes into the bathroom with the donor for a urine collection. It is a manual process to locate a site with an available observer which may cause a delay in receiving your donor pass.
Choose One(Required)
Return to Duty and Follow Up Drug Tests are under direct observation as per DOT rules.
Address(Required)
Will be used to locate the closest testing location, or, for Proctored Oral Fluid tests, where the kit will be shipped.

Results Delivery

How should we send the results? Email address to send results Fax number to send results Actions
There are no Entries.
You may have results sent to more than one individual.
This field is hidden when viewing the form
This field is hidden when viewing the form

Test Requisition

The test requisition is the order for the test. If you are ordering for yourself, enter your information. If you are ordering a Proctored Oral Fluid test make sure to provide the Donor's email address, as that is where all of the notifications will go.
This field is hidden when viewing the form
Please send the test requisition form to:(Required)
Name Email address Mobile Number Actions
There are no Entries.
  • $224.00
  • $50.00
  • Total $274.00