Please enter your information and then click on the "Submit" button.
Drug Free Business Client Services will contact you to set up convenient collection sites and obtain additional information if needed.
Please don't hesitate to call Drug Free Business if you have any questions about getting started. 425-488-9755 or 800-598-3437.
Fields with a red asterisk * are required.
Section - Contact Info
Section - DOT Program Application
Should match the name associated with your USDOT number.
You can determine your USDOT Number(s) by going to https://safer.fmcsa.dot.gov/CompanySnapshot.aspx and search by "name".
Section - DER info
Name(s) of Designated Employer Representative (DER) to receive confidential random notices and confidential test results.
Section - Non-DOT Testing Program Info
We will contact you to get an employee roster for random selections, the percentage you want to be tested (50% per year is typical), quarterly or monthly, and other details.
We will contact you to explain the various options available to you at no extra charge and the reasons why employers implement random testing programs.
Section - Additional Info