Previous Employer Alcohol & Drug Test Information - Snap-Out Format
Features 3-ply, carbonless forms (8-1/2" x 11-3/4").
Effective January 6, 2023: Motor carriers will no longer need to contact a CDL driver’s former employers to inquire about FMCSA drug or alcohol testing violations. Motor carriers must run a Drug & Alcohol Clearinghouse query instead. Former employers must still be contacted for employment verification and the driver’s crash history. Therefore, drug/alcohol questions have been removed from the Safety Performance History Records Request form (No. 9620 or 9652). The revised Previous Employer Alcohol & Drug Test Information form (No. 6827 or 6828) should be used to obtain information about an applicant’s DOT drug or alcohol violations that occurred under a non-FMCSA agency (FAA, FTA, FRA, PHMSA, etc.).
- Helps you satisfy 49 CFR §391.23(e) and §40.25
- Snap-out format
- Three plies
- Carbonless
- Measures 8-1/2" W x 11-3/4" L
- Imprinting available. Call toll-free for pricing.
View Sample
View a sample Previous Employer Alcohol & Drug Test Information.
Carbon Type: Carbonless
Number of Plies: 3
Compliance Topic: Injury & Illness Recordkeeping, DOT Drug & Alcohol Management
Size: 8.5" x 11"
Format: Snap-out
Need to Purchase a Case?: 1,000 per case
Industry: Human Resources, Transportation
Average Rating: 5.0
BVNumberOfReviews: 1
UNSPSC Number: Examination booklets or forms - 14111533
Advantage Savings: Advantage Savings
Country Of Origin: USA