Scheduling

Please complete the form below to schedule a DOT Drug/Alcohol Test outside our facility. Please note that you must submit one completed form for each test needed. After completing the form, you will receive your ePassport(s) within 30 minutes after payment has been completed. Thank you

* Indicates required field

1.1- Company Name *

1.2- Name - Requesting Company Official *

First

Last

1.3- Email - Requesting Company Official *

2.1- Driver Name *

First

Last

2.2- Driver License # (Include State Initials) *

2.3- Driver Zip Code *

3.1- Type of Test (Select One) *

3.2- Reason for Test (Select one) *

3.3- Additional Instructions *

Submit