Get Alcohol Testing Form (non-dot) - Jj Keller & Associates

The Alcohol Testing Form (Non-DOT) by JJ Keller & Associates is essential for documenting alcohol tests in a compliant manner. This guide provides clear instructions to help users effectively fill out the form online.

Follow the steps to complete the Alcohol Testing Form (Non-DOT) accurately.

1. Press the ‘Get Form’ button to access the Alcohol Testing Form (Non-DOT). This action allows you to retrieve the form necessary for completion.
2. Begin by filling in Step 1, which is to be completed by the alcohol technician. Input the employee's name, Social Security Number (SSN) or Employee ID number, employer's name, and contact information for the Designated Employer Representative (DER). Select the reason for the alcohol test from the options provided. Ensure all entries are accurate.
3. In Step 2, the employee must certify their participation in the alcohol testing. This includes signing and dating the certification statement, confirming that the provided information is truthful.
4. Once the employee has completed Step 2, the alcohol technician will proceed to Step 3. They must document the testing performed, noting whether a saliva or breath test was used, including critical details like test number, device serial number, and the activation and reading times. Affix the results securely using tamper-evident methods. If the initial result is positive, the technician must conduct a confirmation test under the proper protocol.
5. Finally, proceed to Step 4 if the confirmation test result is positive. The employee must again certify by signing and dating the statement regarding the positive result. Notify the DER immediately and ensure that relevant copies are forwarded appropriately.
6. Upon completion of all steps, users have the option to save their changes, download, print, or share the form as needed.

Ensure compliance and accuracy by completing your Alcohol Testing Form (Non-DOT) online today.