Forms safety

Drug & Alcohol Test Consent

DOT 49 CFR Part 40 drug & alcohol test consent — chain of custody, refusal documentation.

Built for: Trucking Construction DOT regulated Federal Contractors

What's inside this template

Test reason (required)
Pre-employment / Random / Reasonable suspicion / Post-accident / Return to duty / Follow-up
Date / time of collection (required)
Collection site (required)

I consent to the collection and testing of my urine / breath sample for drug and alcohol screening (required)
I understand refusal will be treated as a positive result (required)
Employee signature (required)

Pre-employment / random / reasonable-suspicion / post-accident testing

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