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Drug Free Business Membership Application
  • Please enter your information and then click on the "Submit" button. Drug Free Business Client Services will contact you to set up convenient collection sites and obtain additional information if needed. Please don't hesitate to call Drug Free Business if you have any questions about getting started. 425-488-9755 or 800-598-3437.
    Please select the types of testing programs you want us to set up for you.
  • Section - Contact Info

  • Optional
  • Section - DOT Program Application

    Choose which program or DOT agency - If covered by multiple modes please explain in remarks,
  • The Owner-Operator Consortium is open to employers with one CDL driver. An employer who employs himself/herself as a driver must comply with both the requirements in this part that apply to employers and the requirements in this part that apply to drivers. The single driver will be placed in the Owner-Operator random testing pool along with other Owner-Operators. If you have more than one CDL driver, you should choose the FMCSA (multiple drivers) option.
  • Should match name associated with your USDOT number.
  • If not sure, enter "Unknown"
  • You can determine your USDOT Number(s) by going to https://safer.fmcsa.dot.gov/CompanySnapshot.aspx and search by "name".
  • Section - DER info

  • Name of Designated Employer Representative (DER) to receive confidential random notices and test results. It can NOT be the driver.
  • Name of Designated Employer Representative (DER) to receive confidential random notices and test results.
  • Name of Secondary Designated Employer Representative (DER) to receive confidential random notices and test results. Not required but highly recommended.
  • Section - Additional Info

  • Estimate - may vary.
  • We will contact you to get an employee roster for random selections, the percentage you want tested (50% per year is typical), quarterly or monthly, and other details.
  • We will contact you to explain the various options available to you at no extra charge and the reasons why employers implement random testing programs.
  • Upon receipt of this application, payment of the annual membership fee of $200 will be billed and must be paid before the account setup can be completed. Additionally, mandatory use of the FMCSA Drug & Alcohol Clearinghouse begins January 6th, 2020. As an owner-operator, you are required to employ the services of a Consortium/Third-Party Administrator (CTPA). We charge a $15.00 Clearinghouse fee per year to cover our Clearinghouse services to you. You must also be registered for the Clearinghouse before account setup can be completed. All new members will receive a Drug Free Business welcome email, which includes a sample policy and additional materials to help you create your drug-free workplace and/or stay in compliance with DOT testing regulations. Once selected for a random drug and or alcohol test, you must report immediately upon receipt of the selection notice. This is the only notice you will receive. Failure to report for testing could result in a ‘refusal to test’ which may directly affect your CDL and could cause you to be removed from the testing pool and forfeit of any fees paid. It is your responsibility as a member of the pool to notify Drug Free Business immediately of any changes in your driving status, contact information or changes in phone or address for your company. You must notify all current employers and Drug Free Business in writing of any violation of the alcohol and drug prohibitions under Part 40 before the end of the business day following the day you received notice of the violation (§382.415). If you violate any of the DOT or FMCSA drug and alcohol regulations, including failing or refusing a required drug or alcohol test, Drug Free Business is required to report the violation to the FMCSA Clearinghouse. For the integrity of the consortium pool, you must agree to adhere to these rules, failure to do so will cause you to be removed from the pool and your membership canceled. By completing this application, you hereby acknowledge responsibility for all Consortium rules, payment in full of annual membership dues, and/or any testing services rendered. You must keep DFB informed of any changes to phone number, address, and/or driving status (DOT Rule 49 CFR Part 40 Section 40.11 Employer Responsibilities). You must be available for testing as required. The inability to contact you by e-mail or phone will result in automatic removal and termination from the pool. Cancellation of services or membership requires 30 days prior written notice.
  • Upon receipt of this application, Drug Free Business will invoice your company for the $150 annual membership fee. Drug Free Business will contact you to setup your program and provide assistance and consultation including policy and procedure templates. All new members will receive the Drug Free Business membership packet, which includes sample policies and additional materials to help you create your drug-free workplace and/or stay in compliance with DOT testing regulations. I acknowledge my employer responsibilities as defined in DOT Rule 49 CFR Part 40 Section 40.11 Employer Responsibilities. By completing this application, your company hereby acknowledges responsibility for payment in full of annual membership dues, and/or any services rendered. Cancellation of services or membership requires 30 days prior written notice.
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