PRE-QUALIFICATION URINANALYSIS CONSENT & ACkNOWLEDGEMENT OF RECEIPT OF DRUG AWARENESS PROGRAM
I understand that as required by the Federal Motor Carrier Safety Regulations, Title 49 United States Code of Federal Regulations, Section 382.301 and company policy, all prospective drivers must submit to tests for controlled substances.
I understand that a urine sample will be collected at a collection site selected by the company and that the sample will be tested for controlled substances by a drug-testing laboratory certi ed by the National Institute of Drug Abuse, United State Department of Health and Human Services. I understand that if I test positive for use of controlled substances, I am not medically quali ed to operate a commercial motor vehicle.
The results of the drug test will be maintained by an impartial Medical Review Officer for the company who will report whether the results were negative or positive to the Company. The results will not be released to any additional parties without my written consent.
I understand that I will be receiving a driver drug & alcohol information packet. I agree to sign, date and return the front page to the Safety Department. This requirement ful ls the 49 CFR 382.601 of the Federal Motor Carrier Safety requirements.
I agree to comply with (Company) policies and Federal Regulations dealing with use and possession of alcohol and restricted drugs.