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Alcohol EtG – Urine Test

Ethyl Glucuronide (EtG) Urine Alcohol Test – The test measures any alcohol consumption up to 80 hours. This test does not measure current impairment or under the influence. Our The EtG (Ethyl Glucuronide) Urine Alcohol Test checks for the presence of the Ethyl (drinking) Alcohol metabolite, Ethyl Glucuronide. This test is common for zero tolerance alcohol abstinence programs, court-ordered programs, and DUI programs. ETG 500 (UETG500)

Price: $164.00(each)

Quantity of Tests
Multiple Recipients

#1 Test Recipient

Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
Direct Observed Required ($50 additional Fee applies)?
$50 Direct Observe Fee will Apply - Does the Test Collection need to be directly observed?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#2 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
Direct Observed Required?
Does the Test Collection need to be directly observed?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#3 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
Direct Observed Required?
Does the Test Collection need to be directly observed?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#4 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
SSN*
For specimen ID tracking purposes. Employee ID accepted. Minimum 6 Digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#5 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#6 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#7 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#8 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#9 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue
#10 Test Recipient
Name*
First Last
Phone*
Email (To Receive Test Pass)*

The test registration order will be sent here.
Zip*
The tests be performed near this zip code.
Date of Birth*
MM slash DD slash YYYY
Reason*
What is the reason for the test?
DOT Agency*
Donor ID*
Example: SSN, Employee ID, Phone number or unique ID of at least 6 digits
CDL Number*
For FMCSA drivers, enter CDL number and state of issue.
State of Issue

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?*
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Alcohol EtG – Urine Test

Price: $164.00(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