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Click ‘Get Form’ to open the mis data form in the editor.
Begin by entering the calendar year covered by this report at the top of the form.
In Section I, fill in your employer details including Company Name, DBA Name (if applicable), and Address. Ensure you provide a valid email and include your signature along with the name of the certifying official.
Select the appropriate DOT agency for reporting MIS data and complete any required fields such as DOT number or certificate number.
Proceed to Section II, where you will enter total numbers for safety-sensitive employees and employee categories. If there are multiple categories, make copies of Sections I and II for each category.
In Section III, input drug testing data across various categories like Pre-Employment and Random tests. Ensure totals are calculated correctly.
Finally, complete Section IV with alcohol testing data, ensuring all results are accurately recorded.
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49 CFR 40.26 - What form must an employer use to report
MIS Data Collection Form to report that data. You must use the form and instructions referenced at appendix J to part 40. You must submit the MIS report inRead more
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