Company DOT Random Drug & Alcohol Program

This package is for DOT companies with 1 or more DOT covered employees needing to be enrolled into a random drug and alcohol testing program. This package includes access to over 20,000 collection sites, access to our online system allowing you to find a location, receive test results and pull all reports needed in case of an audit, enrollment into random consortium + enrollment certificate, employee education guide, and a dedicated drug test specialist assigned to your company to answer any questions regarding testing or regulations.

If you have any questions, please feel free to contact our office at 866-566-0261. Thank you.

Price: $199.00

Company Physical Address

* Address :

* City :

* State :

* Zip :

Mailing address is different from Physical address

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Company Mailing Address

* Address :

* City :

* State :

* Zip :

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Employee Information

Please provide a list of all employees needing to be enrolled into the random drug and alcohol testing. If you have more than 15 employees that need to be enrolled, please do not list all employees on this form. We will send you a file asking for the information separately. If you do not have a list ready, you can skip this step and someone from our office will contact you within 24 hours to go over our process.

Employee # 1

First Name :

Last Name :

SSN / Employee ID :

Employee # 2

First Name :

Last Name :

SSN / Employee ID :

Employee # 3

First Name :

Last Name :

SSN / Employee ID :

Employee # 4

First Name :

Last Name :

SSN / Employee ID :

Employee # 5

First Name :

Last Name :

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Employee # 6

First Name :

Last Name :

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Employee # 7

First Name :

Last Name :

SSN / Employee ID :

Employee # 8

First Name :

Last Name :

SSN / Employee ID :

Employee # 9

First Name :

Last Name :

SSN / Employee ID :

Employee # 10

First Name :

Last Name :

SSN / Employee ID :

Employee # 11

First Name :

Last Name :

SSN / Employee ID :

Employee # 12

First Name :

Last Name :

SSN / Employee ID :

Employee # 13

First Name :

Last Name :

SSN / Employee ID :

Employee # 14

First Name :

Last Name :

SSN / Employee ID :

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Payment Details

* Amount :

* First Name :

* Last Name :

* Phone Number :

Fax Number :

* E-mail Address :

* Street Address :

* City :

* State :

* Zip :

* Country :

* Card Type :

* Credit Card # :

* Expiration Month :

* Expiration Year :

* CVV2 :

By checking "I agree" I confirm that I have read and understand the following items:

I understand that once I have submitted my information and payment has been received this order will be non-refundable. I have read and understand the Terms and Conditions
I, the employer accept full responsibility for participating in this DOT testing program in a manner which is compliant with the Code of Federal Regulations, Title 49 - Part 40 and applicable DOT agency regulations.
I, the employer agree to update my company's current roster of regulated employees at least 5 business days before each selection period date.
I understand that is one of my employee's is selected for a DOT random drug or alcohol test, I, the employer am responsible for notifying the employee to proceed immediately for testing.
I understand that the annual fee for Company DOT random testing program renews each January 1st for $199. All USDTC DOT random testing pools are based on a calendar year.

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866-566-0261

Company DOT Random Drug & Alcohol Program

Price: $199.00

Company Information

Company Physical Address

Company Mailing Address

Employee Information

Employee # 1

Employee # 2

Employee # 3

Employee # 4

Employee # 5

Employee # 6

Employee # 7

Employee # 8

Employee # 9

Employee # 10

Employee # 11

Employee # 12

Employee # 13

Employee # 14

Payment Details

US Drug Test Centers

Testing Information

Contact Us Today

US Drug Test Centers

Child Supervision

Select Your State

Place an Order Online

Call Now! 866-566-0261

Company DOT Random Drug & Alcohol Program

Price: $199.00

Company Information

Company Physical Address

Company Mailing Address

Employee Information

Employee # 1

Employee # 2

Employee # 3

Employee # 4

Employee # 5

Employee # 6

Employee # 7

Employee # 8

Employee # 9

Employee # 10

Employee # 11

Employee # 12

Employee # 13

Employee # 14

Payment Details

US Drug Test Centers

Testing Information

Contact Us Today

US Drug Test Centers

Child Supervision

Call Now!
866-566-0261