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 urine specimen collection for you:
(a)
Full name of the employee being tested.
(b)
Employee SSN or ID number.
(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 § 40.35 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).
[75 FR 59107, Sept. 27, 2010]