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safety

Drug & Alcohol Test Consent

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

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14 days free, $0 today — Forms comes with every suite.

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.

Built for: Trucking · Construction · DOT-regulated · Federal Contractors

What's inside this template

Test Information

  • Test reason (required)

    Pre-employment / Random / Reasonable suspicion / Post-accident / Return to duty / Follow-up

  • Date / time of collection (required)
  • Collection site (required)

Employee

  • Employee name (required)
  • Date of birth (verified by ID) (required)
  • Photo ID type and number (required)

Consent

  • 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)

Common use cases

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

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Ready to use this template?

Drug & Alcohol Test Consent runs on a platform app included with every MangoApps plan — pick a suite and it comes along.

Start free — included with every suite

Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.