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COLLECTOR INSTRUCTIONS: 1. 2. Facility Numbers Alar supplied, NONDOTregulated chain of Custody form with facility number. Complete the blank spaces of the facility number on the Chain of custody form

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What is da-412 non-dot acknowledgement form?

DA-412 Non-DOT Acknowledgement Form is a document used to certify that an individual has received and understood non-DOT drug and alcohol testing policies.

Who is required to file da-412 non-dot acknowledgement form?

Employees in safety-sensitive positions who are not subject to DOT drug and alcohol testing regulations are required to file DA-412 Non-DOT Acknowledgement Form.

How to fill out da-412 non-dot acknowledgement form?

The form must be completed by providing personal information, signing to acknowledge receipt of the policy, and returning the form to the employer.

What is the purpose of da-412 non-dot acknowledgement form?

The purpose of DA-412 Non-DOT Acknowledgement Form is to ensure that employees are aware of and understand the company's drug and alcohol testing policies.

What information must be reported on da-412 non-dot acknowledgement form?

The form typically requires the employee's name, contact information, signature to acknowledge receipt of the policy, and date of completion.

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