Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the document and open it in your preferred editor.
2. Complete the first section, which is designated for the collector or employer representative. Enter the employer name, address, and identification number. Include the name, address, phone, and fax number of the Medical Review Officer (MRO), which in this case is Dr. Steve Kracht.
3. Provide the donor's Social Security Number or Employee Identification Number, along with their full name, including last and first names. Ensure you have valid photo identification for verification.
4. Indicate whether the donor's identification was verified, selecting from the provided options like 'Pre-employment' or 'Return to Duty'. Also, specify the reason for the test, such as 'Random' or 'Post-Accident'.
5. List the drug tests that need to be performed based on the specifications given in the form.
6. Fill out the collection site information, including the site name and address as well as the city, state, and zip code.
7. The collector should read the specimen temperature within four minutes and note whether it falls between 90° and 100° F, documenting any additional remarks as necessary.
8. Affix the bottle seals to the specimen bottles, date the seals, and have the donor initial them. Complete any required steps ensuring proper chain of custody.
9. The collector and donor should provide their signatures and necessary details, including the time and date of collection.
10. Once all sections are completed, save the changes to the form, and choose to download, print, or share the document as required.

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