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Safety & Compliance Resources

J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

Company & Careers

J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

Alcohol Testing Form - Non-DOT Format

Use this form when testing employees not regulated by DOT.

Product Code:6363
  • Designed for use when testing employees not regulated by DOT; based on the form used for regulated employees
  • Snap-out format
  • Three plies
  • Carbonless
  • Measures 8-1/2" W x 11-3/4" L
  • Imprinting available. Call toll-free for pricing.
Please note:
As of 3/13 this form no longer features a Random Alcohol Testing section. Under the Americans with Disabilities Act, as amended (ADA), alcohol tests are considered medical exams. The ADA restricts when employers may require employees to undergo medical exams. To do so must be job related and consistent with business necessity. To meet this "job related…" provision, the request must, in part, be made to a particular employee. Since random tests do not focus on a particular employee, they do not meet this provision. Therefore, they risk violating the ADA.

To help avoid confusion and to help employers from inadvertently violating ADA, we have removed that section from this form.

View Sample

View a sample Alcohol Testing Form - Non-DOT Format.

Carbon Type: Carbonless

Number of Plies: 3

Compliance Topic: DOT Drug & Alcohol Management, Injury & Illness Recordkeeping

Size: 8.5" x 11"

Format: Snap-out

Need to Purchase a Case?: 1,000 per case

Industry: Human Resources, Transportation

Average Rating: 4.0

BVNumberOfReviews: 2

UNSPSC Number: Examination booklets or forms - 14111533

Advantage Savings: Advantage Savings

Country Of Origin: USA