Description
This package provides all of the forms necessary to administer a substance abuse testing program under the U.S Coast Guard. The forms included in this expanded forms packets are:
- Supervisor Training Acknowledgement Form
- Supervisor Reminder Form
- Reasonable Suspicion Cause Documentation Form
- Employee Training Acknowledgement Form
- Employee Reminder Form
- Explanation of Controlled Substance and Alcohol Use Testing Form
- Pre-Employment Acknowledgement Form
- Pre-Employment Testing History Form
- Previous DOT-Testing History Form
- Drug and Alcohol Testing Program Emergency Contact Information Form
- Documentation of an Accident
- Report of Marine Casualty, Commercial Diving Casualty, or OCS-related Casualty
- Barge Addendum
- Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service
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Personnel Casualty Addendum
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Involved Persons and Witnesses Addendum
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Refusal to Submit to a Drug and/or Alcohol Test
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Substance Abuse Professional Acknowledgement Form
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Surrender of Credential in the Event of Drug or Alcohol Use
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DOT/USCG Periodic Drug Testing Form
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Substance Abuse Treatment Resources
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Return-to-Work Agreement for Policy Violations
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Rx/OTC Medication Information Form
Objectives
There are various forms required for each DOT agency regarding the drug and alcohol testing programs. The forms were created to comply with each modality’s requirements and to assist the DER in properly managing the testing program. The DOT expanded forms are agency specific and include appropriate instructions on how to use each form.
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