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Previous Employer Alcohol & Drug Test Information - Padded Format (01496)
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Previous Employer Alcohol & Drug Test Information - Padded Format

Includes 50 forms (8-1/2" x 11") per pad. 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: 6828
List Price: $14.66

Overview

  • Helps you satisfy 49 CFR §391.23(e) and §40.25
  • Padded format, 50 forms per pad
  • Measures 8-1/2" W x 11" L

View Sample

View a sample Previous Employer Alcohol & Drug Test Information.

Volume Pricing

Volume Pricing
Product Code Description 1 - 2 3 - 5 6 - 11
Higher quantities available. Pricing reflected in shopping cart or call 1-877-564-2333 to order.
6828
Padded format, 8-1/2" x 11"
$14.66
$12.39
$9.81

Specification

Specification
Product Code Description Format Number of Plies Size Need to Purchase a Case? Country Of Origin
6828
Padded format, 8-1/2" x 11"
Pad
1
8.5" x 11"
50 per case
USA

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