Use of Alcohol or Drugs Forms


Use of Alcohol or Drugs Forms

    Form Title  Word  PDF Revision Date
    Policy Statement - Alcohol/Drug Free Workplace and Acknowledgment  TS-58 TS-58 7/1998
    Report Form for Suspected Alcohol/Drug Impairment  TS-77 TS-77 4/2016
    Alcohol/Drug Consent Form  TS-76 TS-76 4/2016
    Employee Breath Test for Alcohol  TS-69 TS-69 6/2010
    Non-DOT Breath Alcohol Test Request  NPD-79 NPD-79 10/2013    
    ComPsych Release of Information Form     DOC PDF 11/2011
    Required Referral Memo     DOC1