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RSON, CA 90745 PH:832-813-2729 B. MRO Name, Address, Phone and Fax No. EMRO-DR STEVE KRACHT NDA500020 7500 W 110TH ST STE 500 PO BOX 25903 OVERLAND PARK KS 66225 PH:888-382-2281 FAX:913-469-4029 FAX:661-716-5007 C. Donor SSN or Employee I.D. No. Pre-employment D. Reason for Test: Random Return to Duty E. Drug Tests to be Performed: Reasonable Suspicion/Cause Follow-up OMB No. 0930-0158 Post-Accident Other (specify) THC, COC, PCP, OPI, AMP THC & COC Only Other (specify) ( ) 7643N N.

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Employer Requirements for Positives: Medical Review Officers (MROs) are required to maintain a signed or stamped and dated copy of Copy 2 of the control custody form (CCF) for positive drug test determinations.

Instruct the patient (or nurse) to collect all voided urine during the 24-hour collection period and add it to the collection container. The collection should end exactly 24 hours after it began, by having the patient empty his or her bladder, or catheter bag, and adding this specimen to the collection container.

Do not keep it for longer than 24 hours. The bacteria in the urine sample can multiply if it is not kept in a fridge. If this happens, it could affect the test results.

A chain of custody form, or CCF, is a document used to keep track of a specimen in the drug testing process. It tracks the specimen from the moment the donor provides the specimen to the collector until the reporting of the specimen analysis from the MRO to the DER.

Dispose of the urine sample specimen containers and used vials/gloves/face mask into biohazard waste bags (double bagged) with each bag tied.

(4) Remove Copy 5 of the CCF and give it to the employee. (5) Place the specimen bottles and Copy 1 of the CCF in the appropriate pouches of the plastic bag. (6) Secure both pouches of the plastic bag. (7) Advise the employee that he or she may leave the collection site.

2. First voided specimen: The patient is given a urine container to take home and instructed to collect a sample of the urine the first time he or she urinates in the morning. Because urine is not stable, the specimen should be returned to the laboratory within one (1) hour of collection.

CCF stands for Custody and Control Form and it is used to collect and track a drug test.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232