Pre-Printed Non-DOT Alcohol Testing Form

Description

Pre-printed Non-DOT Alcohol Testing Form

Use the pre-printed Non-DOT Alcohol Testing Form to record results for any alcohol or saliva test that is not a DOT test. All U.S. Department of Transportation references have been removed from the form, but are otherwise identical to DOT forms.

Pre-Printing Options

Pre-printed information eliminates repetitive handwriting and saves time and money. Here are ways we can customize the pre-printed areas of the Non-DOT ATF:

• Pre-print the Employer’s information in Step 1 of the alcohol test form. This makes sense when conducting testing for many employees from the same company. Pre-printing Step 1 is not recommended for testing sites that do testing for a variety of employers.
• Pre-print the testing site’s company information in Step 3. This makes sense if the testing company information is the same.
• Pre-print an X in the “Breath” and “BAT” boxes in Step 3. If you only perform breath testing and testing is administered only by a certified BAT, pre-printing an X in one or both boxes makes sense.

Customize Imprinting Instructions

Click on the Customize Form button to download the form. Fill in your information and fax the form to 708-449-7832 or email to sales@kahntactmedical.com. We will match your faxed or emailed form with your web order and ship to the address that you indicated on your web order.

Please allow 3-4 weeks for custom imprinting.

Customize Your Form

Additional information