Get Cg 719p

Filling out the Cg 719p, or the DOT/USCG Periodic Drug Testing Form, is essential for compliance with U.S. Coast Guard regulations. This guide will provide you with straightforward, step-by-step instructions to help you complete the form accurately.

Follow the steps to complete the Cg 719p online effectively.

1. Press the ‘Get Form’ button to access the Cg 719p and open it in your preferred digital document editor.
2. In Section I, fill in your name (**Last, First, Middle**) clearly and accurately. Provide your Social Security Number in the appropriate field.
3. Next, sign and date the application to certify the information is correct. This indicates your understanding of the consequences of false statements.
4. Complete Section II by entering the name and address of the SAMHSA accredited laboratory that conducted your drug test.
5. In Section III, enter the date when the specimen was collected and mark the corresponding results from the DOT 5 panel analysis for each substance tested, indicating whether the results were negative, positive, substituted, adulterated, or invalid.
6. If the results were positive, complete the additional fields indicating the substances found, the nature of the specimen, and reasons for cancellation if applicable.
7. For the Medical Review Officer information, provide their name and contact details, along with their signature and authority details.
8. Finally, review all information for accuracy, and ensure all required fields are complete. You can then save your changes, download the completed form, print it for submission, or share it as needed.

Start completing your documents online today!