truckerstore 

Due to recent Internet Explorer updates, this store may be best used
in Chrome or Firefox browsers. While we work to resolve the problem
you may also call (573) 634-3388 to place your order.
Thank you for your patience!

Drug & Alcohol

This catalog has no sub-catalogs.
6794 Drug Test Results Form (QDRG-873FS-C4)
6794 Drug Test Results Form
  • $0.75
    each
  • Drug Test Results Form

    This easy-to-use form will help you satisfy 49 CFR 382.407 used by medical review officers for documentation to the employer regarding controlled substance test results.

    8 1/2" W x 11 3/4" L, carbonless, 3-Ply.

     

    Quantity discounted pricing available in the shopping cart.

     

  • at $0.75 ea.
6801 Failed/Refused a Pre-Employment Test (QDRG-886FS-C2)
6801 Failed/Refused a Pre-Employment Test
  • $0.80
    each
  • Failed/Refused a Pre-employment Test Form

    Form helps satisfy 49 CFR 40.25 (j) which states that employers must ask a prospective employee whether he/she has tested positive or refused to take any pre-employment drug or alcohol test during the past two years.

    Snap-out format Each form measures 8 1/2" W x 11" L.

     

    Quantity discounted pricing available in the shopping cart.

  • at $0.80 ea.
6802 Failed/Refused Pre-Employment Test 50/pad (QDRG-886F)
6802 Failed/Refused Pre-Employment Test 50/pad
  • $9.00
    each
  • Failed/Refused Pre-Employment Test

    This form helps satisfy 49 CFR 40.25 (j) which states that employers must ask a prospective employee whether he/she has tested positive or refused to take any pre-employment drug or alcohol test during the past two years.

    Each form measures 8 1/2" W x 11" L. Pad of 50

     

    Quantity discounted pricing available in the shopping cart.

  • at $9.00 ea.
6826 Alcohol & Drug Testing Record Request (QDRG-847FS-C3)
6826 Alcohol & Drug Testing Record Request
  • $0.50
    each
  • Alcohol & Drug Testing Record Request

    Helps comply with 49 CFR Section 382.405(b) and Section 40.37.   

    • Snap-out format
    • Three plies
    • Carbonless
    • Measures 8-1/2" W x 11-3/4" L

     

    Quantity discounted pricing available in the shopping cart.

  • at $0.50 ea.
6827 Previous Employer Drug/Alcohol Test Information (QDRG-849FS-C3)
6827 Previous Employer Drug/Alcohol Test Information
  • $0.50
    each
  • Previous Employer Drug/Alcohol Test Information

    This easy-to-use form will help you satisfy 49 CFR 391.23(e) and 40.25 which require the prospective employer to obtain alcohol and drug testing information from a driver/applicant's previous employers.

    Use this form if you keep confidential alcohol & drug records separate from other driver records, or if you are not required to obtain accident records from previous employers under section 391.23(d).

    This form covers: Driver/applicant's authorization to release information Employment verification and alcohol and drug test information (including previous tests, refusals, and rehabilitation).

    snap-out format, carbonless, 3-ply, 8 1/2" W x 11" L, detached.

    Can be used in combination with the Request For Information From Previous Employer form for a complete Safety Performance History solution! Or consider the all-in-one Safety Performance History Records Request.

     

    Quantity discounted pricing available in the shopping cart.

  • at $0.50 ea.
6849 USDOT Alcohol Test Form -2 Ln Street Address (QDRG-570FS-C3)
6849 USDOT Alcohol Test Form -2 Ln Street Address
  • $0.75
    each
  • Alcohol Testing Form - U S DOT with two line Street Address

    Use this form to help you comply with the revised alcohol and drug testing procedure requirements. (49 CFR Part 40)

    Snap-out format, carbonless, 3-ply, 8 1/2" W x 11 3/4" L, detached.

     

    Quantity discounted pricing available in the shopping cart.

     

  • at $0.75 ea.
7218 Observed Behavior Reasonable Suspicion Record 3 ply (QDRG-862FS-C3)
7218 Observed Behavior Reasonable Suspicion Record 3 ply
  • $0.85
    each
  • Observed Behavior Reasonable Suspicion Record Form

    This easy-to-use form will help you satisfy 49 CFR 382.307 that requires a written record be maintaned when alcohol or controlled substances are a factor in reasonable suspicion testing.

    8 1/2" W x 11 3/4" L, carbonless, 3-Ply.

     

    Quantity discounted pricing available in the shopping cart.

     

  • at $0.85 ea.
9644 All-In-One Confidential File Folder Only (QDRG-19FP)
9644 All-In-One Confidential File Folder Only
  • $4.00
    each
  • All-In-One Confidential File Folder Only 

    Empty Folder - no paperwork included

    Quantity discounted pricing available in the shopping cart.

  • at $4.00 ea.
9645 All-in-One Confidential File-Drug & Alcohol, Driver Qualification & History (QDRG-20FP)
9645 All-in-One Confidential File-Drug & Alcohol, Driver Qualification & History
  • $20.00
    each
  • All-In-One Confidential File - Drug and Alcohol, Driver Qualification & Driver History

    Allows you to keep Alcohol & Drug forms, Safety Performance History forms, and Driver Qualification forms secure and in one convenient location

    • Includes a 9-1/2" W x 11-3/4" L tabbed file folder and the following forms:
      • 1 Cop
        • Driver's Application For Employment (015-F)
        • Certification of Road Test/Qualification Pocket Card (006-BC)
        • Driver Qualification File Contents Sheet (648-F-P)
        • Driver Qualification and ID Certificate (007-BC)
        • Medical Examination Report (649-F)
        • Alcohol and Drug Recordkeeping Log (001-F-P)
      • 2 Copy - 1 White, 1 Canary Bond
        • Certificate Of Compliance (090-F)
        • Checklist For Qualification Of New Drivers (021-F)
        • Driver Statement Of On-Duty Hours-New Hire(644-F)
        • Fair Credit Reporting Act Disclosure Statement (016-F-A)
        • Record of Road Test (013-F)
        • Record of Violations/Annual Review Certificate (643-F)
        • Request For Check of Driving Record (016-F)
        • Previous Employee Safety Performance History (854-F) 
      • Multiple Ply
        • Employment Eligibility Verification (Form I-9) (091-FS-C 3) (3 ply)
        • Medical Examination Certificate (657-FS-L2) (2 ply)
        • Previous Pre-employment Alcohol & Drug Test Statement (886-FS-C 2) (2 ply)
        • Alcohol and Drug Records Request (847-FS-C3) (3 ply)
        • Alcohol and Drug Employee's Certified Receipt (872-FS-C 2) (2 ply)
        • Alcohol and/or Controlled Substance Test Notification (375-FS-C 2) (2 ply)
        • Drug Test Results (873-FS-C 4) (4 ply)
        • Observed Behavior Reasonable Suspicion Record (862-FS-C 3) (3 ply)
        • US Department of Transportation Alcohol Testing Form (570-FS-C 3) (3 ply)
        • Federal Drug Testing Custody and Control Form (472-FC-C 5) (5 ply)
        • Safety Performance History Records Request (850-FS-C 3) (3 ply)

        Quantity discounted pricing available in the shopping cart.

  • at $20.00 ea.
9649 Confidential All-in-One Driver Qualification Packet (Snap-Out) (9649)
9649 Confidential All-in-One Driver Qualification Packet (Snap-Out)
  • $21.00
    each
  • Confidential All-In-One Driver Qualification Packet (Snap-Out)

    Helps you comply with the Safety Performance History recordkeeping requirement.

    • Allows you to keep Alcohol & Drug Forms, Safety Performance History Forms and Driver Qualification Forms secure and in one convenient location
    • Each file packet includes a 9-1/2" W x 11-3/4" file folder and the following forms:

      Driver Qualification

      • (1) Driver Qualification File Contents Sheet – Bond (647-F-P)
      • (1) Checklist for Qualification of New Drivers – 2-ply snap-out (865)
      • (1) Driver’s Application for Employment – Bond (691)
      • (1) Request for Check Of Driving Record – 2-ply snap-out (732)
      • (1) Medical Examination Report – Bond (47375)
      • (1) Medical Examiner's National Registry Verification – 2-ply snap-out (27034)
      • (1) Record and Certification of Road Test –  Bond (1 White/1 Canary) (652)
      • (1) Certification of Compliance with Driver License Requirements – 2-ply snap-out (1619)
      • (1) Driver Statement of On-Duty Hours-New Hire – 2-ply snap-out (3688)
      • (1) Certification of Violations/Annual Review of Driving Record - 2-ply snap-out (3686)
      • (1) Employment Eligibility Verification (Form I-9) – Bond (50306)
      • (1) Certification of Road Test Pocket Card (006-BC)
      • (1) Driver Qualification and Identification Certificate Pocket Card (007-BC)
      • (1) Medical Examination Certificate – Laminated Wallet Card (47379) 
    • Alcohol and Drug
      • (1) Previous Pre-Employment Employee Alcohol & Drug Test Statement - 2-Ply Snap-out (6801)
      • (1) Alcohol and Drug Records Request - 3-Ply Snap-out (6826)
      • (1) Alcohol and Drug Employee's Certified Receipt - 2-Ply Snap-out (6793)
      • (1) Alcohol and/or Drug Test Notification - 2-Ply Snap-out (3048)
      • (1) Drug Test Results - 4-Ply Snap-out (6794)
      • (1) Observed Behavior Reasonable Suspicion Record - 3-Ply Snap-out (7218)
      • (1) U.S. Department of Transportation Alcohol Testing Form - 3-Ply Snap-out (6849)
      • (1) Federal Drug Testing Custody and Control Form – 5-ply Continuous Pinfed (6520)
      • (1) Alcohol and Drug Recordkeeping Log – Bond (001-F-P)
    • Safety Performance History
      • (3) Safety Performance History Records Request – 3-ply Snap-out (9620)
      • (1) Previous Employee Safety Performance History – Bond (9619)
  • at $21.00 ea.
C12 Ethanol Control Solution (QDRG-C12)
C12 Ethanol Control Solution
  • $30.00
    each
  • Ethanol Control Solution - 2 pk 5 ml bottles

    Testing Solution for use with the QED - A150 Saliva Swab Test. 

      

  • at $30.00 ea.
QED - QED Unit (QDRG-QED)
QED - QED Unit
  • $7.50
    each
  • QED Unit - Alcohol Test Kit

    Saliva Swabs - A150 (on the conforming products list)

    Technicians must be trained in order to administer. 

    Over ten years ago, the Federal Motor Carrier Safety Administration authorized the use of saliva testing to comply with the Alcohol Testing Regulations.  The device used must be on the conforming products list. Individuals conducting the testing must be trained in accordance with a DOT model training program.  Upon completion of the training course, the Screening Test Technician (STT) is qualified to offer testing. 

    Refresher training is required every 5 years. 

    Training for Screening Test Technicians is offered periodically at MoTA.

     

  • at $7.50 ea.
null null null null null null