FMCSA Random Program for Companies with 40+ Drivers

Drug Test Description:

Package includes:
1. Stand Alone Company Random Pool at $200/year
2. Audit assistance, MIS reporting, and ongoing consultation
3. Designated Employer Representative Recorded Training - including Quiz and
Certificate of Completion
4. Drug Free workplace Poster and Vehicle Stickers
5. Certificate of Compliance
6. Electronic Chain of Custody (nationwide) or Paper CCF available
7. Electronic reporting and storage of results.
8. Company pays only for tests completed.

Select Quantity :

Price: $200.00 ( each )

#1 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#2 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#3 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#4 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#5 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#6 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#7 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#8 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#9 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

#10 Test Recipient

Name :

Phone :

Email :

The test registration order will be sent here.

Zip :

The tests be performed near this zip code.

SSN :

For specimen ID tracking purposes. Employee ID accepted. For FMCSA drivers, enter CDL number and state of issue.

Reason :

What is the reason for the test?

DOB :

For specimen ID tracking purposes. Employee ID accepted.

How will we send the results?

Where should the test results be emailed?

Where should the test results be faxed?

Who should we attention the fax to?

Call Now! 866-843-4545

FMCSA Random Program for Companies with 40+ Drivers

Drug Test Description:

Price: $200.00 ( each )

#1 Test Recipient

#2 Test Recipient

#3 Test Recipient

#4 Test Recipient

#5 Test Recipient

#6 Test Recipient

#7 Test Recipient

#8 Test Recipient

#9 Test Recipient

#10 Test Recipient

Sub-Total: $200.00

Call Now! 866-843-4545

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FMCSA Random Program for Companies with 40+ Drivers

Drug Test Description:

Price: $200.00 ( each )

#1 Test Recipient

#2 Test Recipient

#3 Test Recipient

#4 Test Recipient

#5 Test Recipient

#6 Test Recipient

#7 Test Recipient

#8 Test Recipient

#9 Test Recipient

#10 Test Recipient

Sub-Total: $200.00