Get Previous Pre Employment A D Test Statement

Filling out the previous pre-employment alcohol and drug test statement is an important process for prospective employees looking to secure safety-sensitive transportation work. This guide offers clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Begin by entering your printed name in the designated field labeled 'Prospective Employee Printed Name'. This identifies you as the individual completing the form.
3. Next, enter your Social Security or ID number in the specified section titled 'Prospective Employee SS or ID Number'. This is vital for your identification.
4. Review the first question regarding any positive tests or refusals to test for pre-employment drug or alcohol tests in the past two years. Select either 'Yes' or 'No' by checking the corresponding box.
5. If you answered 'Yes' to the previous question, proceed to question two, which asks if you can provide proof of successfully completing the DOT return-to-duty requirements. Again, check the appropriate box: 'Yes' or 'No'.
6. Finalize your responses by signing the document in the 'Prospective Employee Signature' area, confirming that the information provided is true and correct.
7. Enter the date of your signature in the designated field beneath your signature.
8. If required, a witness must sign the form in the 'Witness Signature' section and provide the date of their signature as well.
9. Once all sections are filled out and verified, save any changes you made. You can then download, print, or share the completed form as necessary.

Complete your previous pre-employment alcohol and drug test statement online today.