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Click ‘Get Form’ to open the TENNESSEE DRUG-FREE WORKPLACE application in the editor.
Begin by filling in your Company Name and FEIN. Ensure these details are accurate as they are crucial for identification.
Complete the Mailing Address and Business Address sections, including city, state, and zip code. This information is essential for correspondence.
Provide your contact details: Phone number, Fax number, and Email address. This allows for effective communication regarding your application.
Enter the name of your Substance Abuse Program Administrator and describe the nature of your business along with the total number of full-time and part-time employees.
Fill in details about your Workers’ Compensation Insurance Carrier and Lab Certification. Choose from SAMHSA or other options as applicable.
Indicate the name of your Testing Laboratory and Medical Review Officer (MRO), including their contact information.
Answer questions regarding employee training on drug-free policies and provide dates for any required training sessions.
For renewal applicants, input the number of tests performed in various categories over the past 12 months, ensuring accuracy in reporting.
Finally, certify the application by signing it as an Owner/Officer, providing printed name and date before submitting it through our platform.
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