Positive/Refused Drug/Alcohol Test Report
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.
Instructions
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 |
How to submit the form
- Mail the completed form to:
Mandatory Suspension
Department of Licensing
PO Box 9030
Olympia, WA 98507-9030 - or
- Fax it to 360.570.7826.
