
Get Alcohol Test Report Format
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Alcohol Test Report Format online
Filling out the Alcohol Test Report Format is an essential process for employers to document drug or alcohol test results of drivers. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently online.
Follow the steps to fill out the Alcohol Test Report Format online.
- Click ‘Get Form’ button to access the form and open it in your online editor.
- Begin by entering the driver's name in the format of Last, First, and Middle Initial in the designated field.
- Input the driver's license number to ensure accurate identification.
- Enter the driver's date of birth in the specified format.
- Fill out the employer or motor carrier name in the corresponding section.
- Provide the last four digits of the driver's Social Security number for identification purposes.
- Enter the complete mailing address of the employer or motor carrier, including city, state, and ZIP code.
- Input the area code and telephone number for the employer.
- Enter the employer's email address for any necessary follow-up communications.
- Select the reason for the test from the provided options, such as pre-employment, random, or reasonable suspicion.
- Document the test results by indicating whether the driver tested positive, refused the test, or failed to appear for testing.
- Attach the required Positive/Refused Drug/Alcohol Test Report (DR-500-013) as outlined in the instructions.
- As the employer, provide an accurate declaration by typing or printing your name, the date, place, and your title.
- Sign the form electronically or print it out and sign in the designated signature area.
- Once completed, save your changes, and choose to download, print, or share the form as needed.
Start filling out the Alcohol Test Report Format online now to ensure compliance and accurate documentation.
Check the instructions included with the device to read results. Generally, one green band means your BAC is under 0.05%, which is within the legal limit to drive. Two green bands indicate that your BAC is between 0.05% and 0.10%, and three bands means it's over 0.10%.
Fill Alcohol Test Report Format
Q5: How many alcoholic drinks did you consume? Q6: What size alcoholic drink did you consume? I certify that I have submitted to the alcohol test, the results of which are accurately recorded on this form. I certify that I have-bmitted to the alcohol test, the results of which are accurately recorded on this form. •Test results released pertain to the specimen submitted. (Circle one or both.) a. Alcohol Breath-Testing log for Month. 20___. Date. "Now I am going to ask you some questions about your use of alcoholic beverages during this past year.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.