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Drug screen collection form 2026
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- Click ‘Get Form’ to open the drug screen collection form in the editor.
- Begin by filling out the Employer Information section. Enter the Company/Collection Site, Address, Phone, Postal Code, State, City, and Fax. Ensure that the Picture ID is verified and include the Donor’s ID Number.
- Next, complete the Donor Information section. Fill in the Donor’s Last Name, First Name, Phone Number, and Date of Birth. The donor must then read and sign the consent statement to confirm their agreement.
- Proceed to the Collection Information section. Indicate the Reason for Test (e.g., Pre-Employment, Random) and record any relevant details such as Kit Expiration Date/Lot Number and Specimen Temperature.
- Finally, complete the Initial Test Results section by marking whether results are Negative or if Further Testing is Needed. The Collector/Tester must sign and date this section to certify accuracy.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2015 | 4.1 Satisfied (27 Votes) |
What is a CCF form?
Bring the following information with you when visiting a collection site for an employment drug test: Labcorp chain of custody form, Web COC donor registration form/number, or the laboratory testing request form from a health care professional. Photo ID (e.g., drivers license, employee identification badge)
How do you become a drug screen collector?
To become qualified as a collector, you must be knowledgeable about Part 40 regulations, the current DOT Specimen Collection Procedures Guidelines, and DOT agency regulations applicable to the employers for whom you will perform collections, and you must keep current on any changes to these materials.
What is a drug screen form?
A drug test consent form is the document you must present to an employee or prospective employee in advance to test for illegal drugs and alcohol. When an individual signs the form, it allows a healthcare worker to obtain a sample from them and a lab to share those results with you.
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Related links
Aug 19, 2024 You may request a drug screen at any location listed below. COLLECTION SITE: For Non-DOT collections - Please send this form with CCF to LabcorpRead more
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Missing/Incorrect Reason for Test. F. Missing/Incorrect Drug Tests to be Performed. G. Missing/Incorrect Collection Site Address, Collector Phone No. and FaxRead more