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Previous Employer Alcohol & Drug Test Information - Snap-Out Format (01497)
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Previous Employer Alcohol & Drug Test Information - Snap-Out Format

Features 3-ply, carbonless forms (8-1/2" x 11-3/4"). Read more.

Effective January 6, 2023: Motor carriers will no longer need to contact a CDL driver’s former employers to inquire about FMCSA drug or alcohol testing violations. Motor carriers must run a Drug & Alcohol Clearinghouse query instead. Former employers must still be contacted for employment verification and the driver’s crash history. Therefore, drug/alcohol questions have been removed from the Safety Performance History Records Request form (No. 9620 or 9652). The revised Previous Employer Alcohol & Drug Test Information form (No. 6827 or 6828) should be used to obtain information about an applicant’s DOT drug or alcohol violations that occurred under a non-FMCSA agency (FAA, FTA, FRA, PHMSA, etc.).

Product Code: 6827
List Price: $38.28

Overview

  • Helps you satisfy 49 CFR §391.23(e) and §40.25
  • Snap-out format
  • Three plies
  • Carbonless
  • Measures 8-1/2" W x 11-3/4" L
  • Imprinting available. Call toll-free for pricing.

View Sample

View a sample Previous Employer Alcohol & Drug Test Information.

Volume Pricing

Volume Pricing
Product Code Description 50 - 99 100 - 249 250 - 499
Higher quantities available. Pricing reflected in shopping cart or call 1-877-564-2333 to order.
6827
Previous Employer Alcohol & Drug Test Information
$0.76561
$0.73081
$0.69601

Specification

Specification
Product Code Description Carbon Type Format Number of Plies Size Need to Purchase a Case? Country Of Origin
6827
Previous Employer Alcohol & Drug Test Information
Carbonless
Snap-out
3
8.5" x 11"
1,000 per case
USA

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