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 specimen collection for you:
(a)Full name of the employee being tested.
(b)SSN or Employee ID No.
(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 § 40.36.
(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).
(k)Specimen type to be collected ( i.e., oral fluid or urine).