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Click ‘Get Form’ to open it in the editor.
In Section I, enter your printed or typed name and SS or ID number. Ensure accuracy as this information is crucial for identification.
Authorize the release of your drug and alcohol testing records by signing and dating the designated fields. This consent is essential for compliance with DOT regulations.
Fill in the new employer's details in Section I-A, including the name, address, phone number, and designated representative's information.
In Section I-B, provide the previous employer's information accurately to facilitate the transfer of records.
Section II must be completed by your previous employer. Ensure they answer all questions regarding your testing history accurately.
Finally, review all entries for completeness and accuracy before submitting the form via mail or fax as required.
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49 CFR Part 40 questions and Answers49 CFR Part 40 pdf49 CFR Part 40 Subpart OWho is subject to 49 CFR Part 40Dot rule 49 cfr part 40 section 40.23 subpart oRelease of information Form 49 CFR Part 40 drug and alcohol testing49 CFR Part 40 Subpart F49 cfr part 40 direct observation
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49 CFR Part 40 | US Law | LII / Legal Information Institute
49 CFR Part 40 - PART 40PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Subpart AAdministrative Provisions ( 40.1 - 40.7)Read more
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