Use these forms to report positive drug or alcohol tests, or refusals to take the tests. The reports must be submitted to us within 3 business days of the confirmed test.
Fill out the form completely, and print it on white paper.
|If you are:||Use this form:|
|A medical review officer or breath alcohol technician||Positive/Refused Drug/Alcohol Test Report|
|An employer or motor carrier||Positive/Refused Drug/Alcohol Test Report by Employer|