Pre-employment drug test claim form 2025

1. Click ‘Get Form’ to open the Pre-employment drug test claim form in the editor.
2. Begin by filling in the drug testing agency’s details. Enter the name, street address, and indicate if the mailing address differs from the street address.
3. Provide your agency's GST number if applicable, along with your IRD number. Ensure all information is accurate for processing.
4. Next, input the bank account details of your agency, including the account name and number.
5. Fill in the contact person’s details for this invoice, including their name, work phone number, mobile number, and email address.
6. Proceed to enter the person's details who underwent testing. Include their full name, date of birth, gender, and Work and Income client number if known.
7. Specify the type of test taken and its result. If it was a failed test, indicate which class of drug was detected.
8. Confirm whether a copy of the test result has been given to the client and provide any additional comments as necessary.
9. Finally, declare that all information provided is true and complete by signing and dating the form before submission.

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