Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Escreen Specimen Result Certificate

Get Escreen Specimen Result Certificate

Kracht 7500 W. 110th St, Ste 500 PO Box 25903 GREENWOOD VILLAGE, CO 80112 Location: 11539 - US Healthworks - East Windsor Overland Park, KS 66225 888-382-2281 Donor Name: Donor SSN: XXX-XX-XXXX Doe, John Date Of Test: 06/11/2009 08:07 AM CST Other ID: ID Number: 66163163 Donor Status: Pre-employment Lab eCup Drugs Tested Test Type: Non-DOT Marijuana, Cocaine, Amphetamines, Opiates, PCP Final Result Disposition: Negative TO BE COMPLETED BY THE MEDICAL REVIEW OFFICER I have reviewed.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Escreen Specimen Result Certificate online

Completing the Escreen Specimen Result Certificate online is a streamlined process designed to ensure that users can efficiently submit their essential information. This guide will provide clear, step-by-step instructions to help users navigate each section of the form with confidence.

Follow the steps to accurately complete the online form

  1. Click ‘Get Form’ button to open the Escreen Specimen Result Certificate form and access it for completion.
  2. Begin by entering the donor's name in the designated field, ensuring that the spelling is accurate to avoid any discrepancies.
  3. Provide the donor's social security number in the specified section, using the format XXX-XX-XXXX to maintain confidentiality.
  4. Record the date of the test, including the time and time zone, to document when the specimen was collected.
  5. Input the identification number provided for the donor in the appropriate field to facilitate tracking.
  6. Select the donor status from the options available, such as 'Pre-employment', to categorize the reason for the test.
  7. List the drugs tested in the provided section, ensuring that they match the required panel, such as marijuana, cocaine, amphetamines, opiates, and PCP.
  8. Indicate the final result disposition as either 'Negative' or other relevant outcomes pertaining to the test, which will be finalized by the medical review officer.
  9. The medical review officer will complete their section, including their name, signature, and date, confirming their review of the laboratory results.
  10. Once all information has been entered accurately, users can save changes, download, print, or share the completed form as needed.

Start filling out your Escreen Specimen Result Certificate online today!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Specimen Collection Handbook
specimen drug test result or the report from the test facility (IITF or laboratory)...
Learn more
Medical Review Officer Manual
The final review of results is an essential component of any drug testing program. A...
Learn more
COVID-19 Cue™ COVID-19 Test Instructions For Use...
(POC), i.e., in patient care settings operating under a CLIA Certificate of Waiver,...
Learn more

Related links form

Tc 96 184 Form 1099 -S - IRS - Irs Uniform Sales Use Tax Certificate Nc 120 Day Permit Leasing Agnt Permit Look Up Form

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Simply check your account's inbox on our customized website, .MyeScreen.com, to view status reports. All the details you need about your company drug screens are available at the click of your mouse, 24/7, from any Internet connection.

You'll receive rapid drug test results for negative pre-employment drug screens via the Internet, on your desktop, within 15 minutes of test completion. You can be on the phone as soon as possible to make a job offer to your first-choice candidates.

The eCup® is the basis for eScreen's non-regulated substance abuse testing solution. The eCup can test for current or past use of Amphetamines, Cocaine, Marijuana, Opiates (such as heroin & opium), and PCP to SAMHSA 5 cutoff levels.

eScreen is a technology-enabled Third-Party Administrator (TPA) that provides next-generation employment screening applications for hiring and maintaining healthy and drug-free workforces.

The eCup can test for current or past use of Amphetamines, Cocaine, Marijuana, Opiates (such as heroin & opium), and PCP to SAMHSA 5 cutoff levels.

Lab-based Testing Lab-based urine testing allows for all panel options. The sample is collected at the point of service and then processed through the eScreen system. All non-DOT tests are performed using our eCCF® paperless process and automated results reporting.

Easy tracking of where donors are in the testing process? eScreen® delivers all of these benefits and more. You don't wait days for results with eScreen. You'll receive web-based negative rapid response drug test results within 15 minutes of test completion.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Escreen Specimen Result Certificate
Get form
  • 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
  • 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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • 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
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program