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DEPARTMENT OF HOMELAND SECURITY. S. Coast Guard DOT/USCG PERIODIC DRUG TESTING FORM OMB 16250040 Expires 01/31/2016INSTRUCTIONS: This form MAY be used to satisfy the requirements for Periodic Drug
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dotUSCG periodic drug testing is a mandatory drug testing program for employees in safety-sensitive positions in the United States Coast Guard.
Employees in safety-sensitive positions in the United States Coast Guard are required to file dotUSCG periodic drug testing.
To fill out dotUSCG periodic drug testing, employees must provide urine samples for drug testing at specified intervals.
The purpose of dotUSCG periodic drug testing is to ensure that employees in safety-sensitive positions are not under the influence of drugs while on duty, in order to maintain a safe work environment.
Information such as the employee's name, date of birth, position, and the results of the drug test must be reported on dotUSCG periodic drug testing.
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