As an employer , or an employer's service agent - for example a C/TPA , you must ensure the collector has the following information when conducting a specimen collection for you:
(a) Full name of the employee being tested.
(b) Employee SSN or Employee ID No .";
(c) Laboratory name and address (can be pre-printed on the CCF).
(d) Employer name, address, phone number, and fax number (can be pre-printed on the CCF at Step 1-A).
(e) DER information required at § 40.36 of this part.
(f) MRO name, address, phone number, and fax number (can be pre-printed on the CCF at Step 1-B).
(g) The DOT Agency which regulates the employee's safety-sensitive duties (the checkmark can pre-printed in the appropriate box on the CCF at Step 1-D).
(h) Test reason, as appropriate: Pre-employment; Random; Reasonable Suspicion/Reasonable Cause; Post-Accident; Return-to-Duty; and Follow-up.
(i) Whether the test is to be observed or not (see § 40.67 of this part).
(j) (Optional) C/TPA name, address, phone, and fax number (can be pre-printed on the CCF).
(k) Specimen type to be collected ( i.e., oral fluid or urine).
[75 FR 59107, Sept. 27, 2010; Amdt. 40-34, 88 FR 27596, May 2, 2023; Amdt. 40-NoNum, 89 FR 51981, June 21, 2024]