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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.

  1. Click ‘Get Form’ button to access the form and open it in your online editor.
  2. Begin by entering the driver's name in the format of Last, First, and Middle Initial in the designated field.
  3. Input the driver's license number to ensure accurate identification.
  4. Enter the driver's date of birth in the specified format.
  5. Fill out the employer or motor carrier name in the corresponding section.
  6. Provide the last four digits of the driver's Social Security number for identification purposes.
  7. Enter the complete mailing address of the employer or motor carrier, including city, state, and ZIP code.
  8. Input the area code and telephone number for the employer.
  9. Enter the employer's email address for any necessary follow-up communications.
  10. Select the reason for the test from the provided options, such as pre-employment, random, or reasonable suspicion.
  11. Document the test results by indicating whether the driver tested positive, refused the test, or failed to appear for testing.
  12. Attach the required Positive/Refused Drug/Alcohol Test Report (DR-500-013) as outlined in the instructions.
  13. As the employer, provide an accurate declaration by typing or printing your name, the date, place, and your title.
  14. Sign the form electronically or print it out and sign in the designated signature area.
  15. 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.

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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%.

08 percent blood alcohol level is the legal alcohol limit for drivers who are aged 21 and over. Drivers younger than 21 are not allowed to have any alcohol in their system when driving. Are legally drunk. The legal alcohol limit for drinking in public varies from state to state.

The three most common methods for testing BAC are breath, blood, and urine tests. Many states require a breath test, but some allow you to request a blood or urine test.

This means that one tenth of a percent of a person's blood volume is alcohol or that a person has 1 part alcohol per 1000 parts blood. At a blood ethanol level of less than 50 mg/dL, or 0.05% concentration, an individual is not considered to be intoxicated. The possible critical value for blood ethanol is >300 mg/dL.

Laboratory tests for acute alcohol ingestion include ethanol, ethyl glucuronide (EtG), and ethyl sulfate (EtS) tests. Carbohydrate-deficient transferrin (CDT) and phosphatidylethanol (PEth) are useful markers for monitoring abstinence after long-term use.

In hair, the three different EtG thresholds for a positive test were: 30 pg/mg, which according to the Society of Hair Testing strongly suggests chronic excessive alcohol use 25; a USDTL laboratory standard of 20 pg/mg; and 8 pg/mg, the limit of quantitation.

A BAC of 0.10 (0.10% or one tenth of one percent) means that there are 0.10 g of alcohol for every 100 ml of blood which is the same as 21.7 mmol/l. A BAC of 0.0 is sober, while in the United States 0.08 is legally intoxicated, and above that is very impaired. BAC levels above 0.40 are potentially fatal.

Blood tests are one of the most reliable methods for detecting heavy alcohol consumption. They can also effectively measure blood alcohol level (BAC).

Therefore, it is important to have the test conducted as quickly as possible from the time of the driving incident. Blood alcohol tests are very accurate in determining BAC levels, but in some cases, the results may be misleading. These cases may involve: People with diabetes or high blood ketones.

Sober: 0.0 percent BAC. Legally intoxicated: .08 percent BAC. Very impaired: . 08 0.40 percent BAC. At this blood alcohol level, you may have difficulty walking and speaking. ... At risk for serious complications: Above . 40 percent BAC.

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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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232