Assessment/Treatment Report for DOT Positive Test

The Assessment/Treatment Report for DOT Positive Test form is used to:

• Report a drug/alcohol assessment.
• Recommend treatment.
• Verify that a driver is satisfactorily participating in, or has successfully completed, drug/alcohol treatment or education.

We must receive a completed assessment/treatment report before we can release a Commercial Driver License (CDL) disqualification resulting from a positive Department of Transportation (DOT) drug/alcohol test or a refusal to take the test.

Instructions

• The report must be completed and sent to us by a DOT-qualified substance abuse professional (SAP).
• All forms must be printed on white paper.