Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the form and display it in the online editor.
2. Fill in the company and employee information section, including the date, employee name, date of birth, company name, company address, and the designated responsible party for drug screens.
3. Provide contact information for the company, such as phone number, secure fax, and email results.
4. Indicate the required DOT services by checking the relevant boxes, which include options like DOT Physical, DOT Drug Screen, and DOT Breath Alcohol.
5. If applicable, specify the testing agency using provided checkboxes, such as FMCSA or FAA, and clearly state the reason for testing from the listed options.
6. For non-DOT drug screenings, select the appropriate tests you want to conduct by checking the relevant options.
7. Continue with the physical exam section. Check the applicable options, indicating whether it is for pre-employment or fit for duty.
8. Move on to the immunization section and select which vaccines are required for the employee.
9. Complete the labs section by selecting any lab tests necessary for the employer authorization.
10. In the testing section, indicate any necessary tests by checking the appropriate boxes.
11. In the authorized by section, ensure to print the name of the person authorizing the treatment, followed by their signature.
12. After thoroughly reviewing the completed form, save your changes, and then download, print, or share the form as needed.

Complete your documents online today for a seamless process.