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BACK OF PAGES 1 and 2 COPY 2 - EMPLOYEE RETAINS COPY 3 - ALCOHOL TECHNICIAN RETAINS INSTRUCTIONS FOR COMPLETING THE U.S. DEPARTMENT OF TRANSPORTATION ALCOHOL TESTING FORM NOTE STEP 1 Use a ballpoint pen press hard and check all copies for legibility. I. Last B SSN or Employee ID No. C Employer Name Street City State Zip Print Screening Results Here or Affix Tamper Evident Tape Print with Screening Results Here or Affix with Affix with Tamper Evident Tape DER Name and Telephone No. DER Phone...

How to fill out alcohol testing form

How to fill out alcohol testing form

1. Gather all necessary information such as the individual's name, contact details, and date of testing.
2. Ensure that you have the correct alcohol testing form for the specific purpose, whether it is for employment screening, legal proceedings, or medical purposes.
3. Read and understand the instructions provided on the form before filling it out.
4. Start by providing the requested personal information, such as name, date of birth, and social security number.
5. Follow the instructions to indicate the testing method used, whether it is breath, blood, or urine test.
6. If required, document any medications or substances that the individual may be currently taking which could potentially impact the test results.
7. Provide accurate details about the testing location, date, and time.
8. For breath tests, ensure that the individual blows into the device correctly and for the specified duration.
9. In case of a urine test, make sure to follow the instructions for collecting and labeling the sample accurately.
10. If additional information or remarks are needed, provide them in the designated space.
11. Review the completed form for any errors or omissions before submitting it.
12. Keep a copy of the filled out alcohol testing form for your records.

Who needs alcohol testing form?

1. Employers who require pre-employment screening for potential candidates.
2. Law enforcement agencies for DUI or other alcohol-related offenses.
3. Medical professionals for assessing alcohol consumption or diagnosing alcohol-related issues.
4. Government agencies for compliance with alcohol-related regulations and policies.
5. Courts and legal proceedings to determine the influence of alcohol in a specific case.
6. Sports organizations and governing bodies to ensure fair play and drug-free competitions.
7. Rehabilitation centers and addiction treatment facilities for monitoring alcohol abstinence.
8. Insurance companies for assessing risk and determining coverage eligibility in certain cases.
9. Educational institutions for ensuring a safe and alcohol-free learning environment.

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What is alcohol testing form?

The alcohol testing form is a document used to report the results of alcohol testing.

Who is required to file alcohol testing form?

Employers who are subject to alcohol testing regulations are required to file alcohol testing forms.

How to fill out alcohol testing form?

Alcohol testing forms should be filled out accurately and completely with the required information such as employee details and test results.

What is the purpose of alcohol testing form?

The purpose of the alcohol testing form is to document and report the results of alcohol testing conducted on employees.

What information must be reported on alcohol testing form?

The alcohol testing form must include employee details, testing date and time, testing method, and test results.