Clearinghouse Reporting

$10.00

Employer reportable violations include positive alcohol tests, refusals to test, and actual knowledge of drug or alcohol use while operating a Commercial Motor Vehicle. After a violation, some steps of the Return to Duty Process reported to the FMCSA Clearinghouse are also the responsibility of the Employer.

**Comprehensive Drug Screening & DOT Compliance Services will need to be designated as your third-party administrator to provide this service.

    Type of Employer Report*

    Address*

    Driver Name*



    Accepted file types: pdf, docx, Max. file size: 5 MB.



    Accepted file types: pdf, docx, Max. file size: 5 MB.


    Accepted file types: pdf, docx, Max. file size: 5 MB.


    Accepted file types: pdf, docx, Max. file size: 5 MB.


    Accepted file types: pdf, docx, Max. file size: 5 MB.


    Max. file size: 5 MB.


    Accepted file types: pdf, docx, Max. file size: 5 MB.

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