Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the company information section. Enter the name of the company administering the test in the provided text field. Be sure to include any relevant details for accuracy.
3. Next, fill out the address section, which includes the street address, city, state, and zip code. Ensure that all provided information is correct to avoid any issues.
4. Input the collector's name and phone number in their respective fields. This information is essential for contact purposes.
5. Indicate whether the specimen temperature is within limits (90-100 F) by selecting Y for yes or N for no, and provide any other pertinent information.
6. Continue to the donor information section. Enter the donor’s full name and social security number. Additional information such as ID type and expiration should also be included.
7. Make sure to fill in any notes regarding the donor, if applicable.
8. The donor must sign and date to certify that the provided specimen is their own and has not been altered.
9. The collector must also provide their signature and date in the designated area, certifying that they have collected the specimen properly.
10. Complete the initial screen results by marking negative, confirm, or not tested for each drug listed. Fill in the required information for the alcohol screen as well.
11. Finally, review all entered information for accuracy. Once confirmed, you can save changes, download, print, or share the completed form as needed.

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