Custody & Control Forms – order online Chain of Custody and Control Order Form (2) Use this online form to order, or reorder paper Custody & Control Forms (Drug Testing Multi-part Forms)"*" indicates required fieldsCompany Name*Authorized by:*Email* Shipping Address – Please note, forms must be sent to a physical address. No P.O. Boxes please.* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Choose your labChooseAlere-AbbottCRLLabCorpQuestGroup (if applicable)ProgramChooseDOTNon-DOTLab Account NumberQuantityZero102030405060708090100125150175200Choose your labChooseAlere-AbbottCRLLabCorpQuestGroup (if applicable)ProgramChooseDOTNon-DOTLab Account NumberQuantityZero102030405060708090100125150175200Choose your labChooseAlere-AbbottCRLLabCorpQuestGroup (if applicable)ProgramChooseDOTNon-DOTLab Account NumberQuantityZero102030405060708090100125150175200Choose your labChooseAlere-AbbottCRLLabCorpQuestGroup (if applicable)ProgramChooseDOTNon-DOTLab Account NumberQuantityZero102030405060708090100125150175200Additional accounts I have additional Lab accountsChoose your labChooseAlere-AbbottCRLLabCorpQuestGroup (if applicable)ProgramChooseDOTNon-DOTLab Account NumberQuantityZero102030405060708090100125150175200Choose your labChooseAlere-AbbottCRLLabCorpQuestGroup (if applicable)ProgramChooseDOTNon-DOTLab Account NumberQuantityZero102030405060708090100125150175200HiddenSection BreakSpecial Instructions or CommentsUpon receipt of this order form, Drug Free Business will invoice your company .25¢ per paper chain of custody form ordered at the end of the month. A $25 per package fee will be assessed on any order returned for incorrect shipping information or refusal to accept the item* I agreeSign-up and stay up to date with compliance updates and training events I agreeNameThis field is for validation purposes and should be left unchanged.
