Close
Alcohol Testing Form - Non-DOT Format
Use this form when testing employees not regulated by DOT. Read more.
Starting at:
$1.09274
$1.09274
Product Code:
6363
Best Selling Alcohol/Drug Forms
Alcohol Testing Form - Non-DOT Format
Use this form when testing employees not regulated by DOT.
Federal Drug Testing Custody And Control Form
OMB. No. 0930-0158
U.S. DOT Alcohol Testing Form w/ 2-Line Street Address
Helps you comply with alcohol and drug testing procedure requirements.
Overview
- Designed for use when testing employees not regulated by DOT; based on the form used for regulated employees
- Snap-out format
- Three plies
- Carbonless
- Measures 8-1/2" W x 11-3/4" L
- Imprinting available. Call toll-free for pricing.
As of 3/13 this form no longer features a Random Alcohol Testing section. Under the Americans with Disabilities Act, as amended (ADA), alcohol tests are considered medical exams. The ADA restricts when employers may require employees to undergo medical exams. To do so must be job related and consistent with business necessity. To meet this "job related…" provision, the request must, in part, be made to a particular employee. Since random tests do not focus on a particular employee, they do not meet this provision. Therefore, they risk violating the ADA.
To help avoid confusion and to help employers from inadvertently violating ADA, we have removed that section from this form.
Volume Pricing
Product Code | Description | 10 - 49 | 50 - 99 | 100 - 199 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Higher quantities available. Pricing reflected in shopping cart or call 1-877-564-2333 to order. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
6363
|
471FS C 3
|
$1.09274
|
$0.9946
|
$0.9163
|
Specification
Product Code | Description | Carbon Type | Format | Number of Plies | Size | Need to Purchase a Case? | Country Of Origin |
---|---|---|---|---|---|---|---|
6363
|
471FS C 3
|
Carbonless
|
Snap-out
|
3
|
8.5" x 11"
|
1,000 per case
|
USA
|