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(The instructions for completing this form are on the back of Copy 3). Step 1: TO BE COMPLETED BY ALCOHOL TECHNICIAN. A: Employee Name .

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How to fill out the Dot Alcohol Testing Form Fillable online

The Dot Alcohol Testing Form Fillable is essential for employers and employees participating in the Department of Transportation alcohol testing program. This guide will provide clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to fill out the Dot Alcohol Testing Form Fillable online effectively.

  1. Press the ‘Get Form’ button to acquire the form and open it in your preferred editor.
  2. In Step 1, the alcohol technician should complete the employee's name, social security number or employee ID number, employer details, and the designated employer representative's (DER) information. Additionally, select the reason for the test from the provided options.
  3. In Step 2, the employee must read the certification statement and sign and date it, confirming that the information provided is true and correct.
  4. In Step 3, the alcohol technician conducts the screening test and records relevant details, including the device used, test results, and any necessary remarks. Ensure that all relevant information is affixed tamper-evidently to the form.
  5. In Step 4, if the alcohol test result is 0.02 or above, the employee must again sign a certification statement to acknowledge understanding of the test results and the implications of those results.
  6. Finally, save your changes, and choose to download, print, or securely share the completed form.

Complete your Dot Alcohol Testing Form Fillable online today for a smooth testing process.

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Overview of 49 CFR Part 40. The Department of Transportation's (DOT) rule, 49 CFR Part 40, describes required procedures for conducting workplace drug and alcohol testing for the Federally regulated transportation industry.

§ 40.25 Must an employer check on the drug and alcohol testing record of employees it is intending to use to perform safety-sensitive duties? (a) Yes, as an employer, you must, after obtaining an employee's written consent, request the information about the employee listed in paragraph (b) of this section.

The MIS report is statistical data compiled yearly by the company that is based on the company's drug and alcohol testing. The data includes the annual number of tests conducted, reasons for testing, information on positive results and what drugs caused the positive results.

49 CFR Part 40, or Part 40 as we call it, is a DOT-wide regulation that states how to conduct testing and how to return employees to safety-sensitive duties after they violate a DOT drug and alcohol regulation. Part 40 applies to all DOT-required testing, regardless of mode of transportation.

49 CFR Part 40, or Part 40 as we call it, is a DOT-wide regulation that states how to conduct testing and how to return employees to safety-sensitive duties after they violate a DOT drug and alcohol regulation. Part 40 applies to all DOT-required testing, regardless of mode of transportation.

ANSWER: If the applicant admits that he or she had a positive or a refusal to test result on a pre-employment test, the employer is not permitted to use the applicant to perform safety-sensitive duties until and unless the applicant documents successful completion of the return-to-duty process.

This form provides authorization to the Federal Motor Carrier Safety Administration to publish hearing or seizure exemption information in a public docket. FMCSA. Federal Motor Carrier Safety Administration. .fmcsa.dot.gov. AUTHORIZATION FOR RELEASE OF INFORMATION.

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