Washington test report form 2025

1. Click ‘Get Form’ to open the washington test report form in the editor.
2. Begin by entering the driver's name, date of birth, driver license number, and social security number in the designated fields.
3. Fill in the employer or motor carrier's name and mailing address, ensuring all details are accurate for proper communication.
4. Select the reason for selection from options such as Pre-employment, Random, or Post accident by clicking on the appropriate checkbox.
5. Indicate whether the driver tested positive or refused a test. If applicable, specify the drug(s) involved and provide the date of testing.
6. Complete sections for Medical Review Officer and Breath Alcohol Technician by entering their names, titles, and contact information.
7. Answer compliance questions regarding federal requirements under 49 CFR Part 40 by selecting 'Yes' or 'No'.
8. Finally, certify your entries by typing or printing your name and signing where indicated before submitting the form.

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