A copy of the department of transportations extension for use of the old form through november 30, 2011, is available at. On monday november, 2017, the department of transportation dot published a final rule in the federal register. The employers name must be listed here, not the ctpa. Hhs publishes revised federal drug testing custody and control forms ccf the department of health and human services recently announced that their revised federal drug testing custody and control form ccf was approved by the office of management and budget omb. In a related action, federal custody and control forms ccfs have been. Completing the federal drug testing custody and control. The department of health and human services hhs establishes the standards for federal workplace drug testing programs under authority of public law 10071 and executive order no. March 2010 federal drug testing custody and control form ccf andor. Documents and forms us department of transportation. The custody and control form for a preemployment dot test mistakenly indicated that the test was conducted pursuant to the federal railroad administrations fra authority. Revised mandatory guidelines that apply to federal workplace drug testing. Guidelines and resources samhsa substance abuse and.
To ensure uniformity among all federal agency workplace drug testing programs, the mandatory guidelines require agencies to use an office of management and budget omb approved federal drug testing custody and control form federal ccf for their programs. Hhs publishes revised federal drug testing custody and. Dot forms include the federal dot drug testing custody control form ccf omb09300158 for transportation industry dot physical examinations and. Samhsa and dot recognize that there may be a large supply of.
Federal drug testing custody and control form identico. Completing the federal drug testing custody and control form ccf. Only the federal drug testing custody and control form approved on august 8, 2017, can be used after june 30, 2018. On monday november, 2017, the department of transportation dot published a.
Federal drug testing custody and control form ccf samhsa. Complete the following form to order drug testing supplies with your labcorp account number. Federal drug testing custody and control form federal register. Instructions for completing the federal drug testing custody and control form when making entries use black or blue ink pen and press firmly collector ensures that the name and address of the hhscertified instrumented initial test facility il t f or hhscertified laboratory are.
Further guidance is provided in appendix b of this handbook. Nonfederal drug testing chain of custody control form. A custody and control form, often called a ccf, is a fivepart carbon copy form used to document the information pertaining to a drug test. An important date is coming up for employers, hiring managers, and hr professionals. Department of transportation dot published an interim final rule ifr authorizing the use of a new federal drug testing custody and control form ccf in its drug testing program. Federal drug testing custody and control form dec 1, 2017 on monday november, 2017, the department of transportation dot published a final rule in the federal register. Performing tasks defined by the us department of transportation dot as safetysensitive, such as working on pipelines, driving a truck, operating a ferry, steering a train or repairing an airplane. Dot drug testing form ccf omb 0930 0158 printable pdf. Use of electronic chain of custody and control form in dotregulated drug testing programs.
Nonfederal drug testing chain of custody control form 2 part form product description. A pdf of the federally regulated drug testing ccf approved august 8, 2017 can be obtained by clicking on the icon at the bottom of this page. Fill out, securely sign, print or email your paml federal drug testing custody and control form 110 w instantly with signnow. Specifically, this rulemaking expands the dots definition of the ccf to include both paper and electronic forms. Current list of hhs certified laboratories with approved electronic custody and control form eccf systems. A pdf copy of the federal drug testing ccf current to february 2016 is supplied on this page, which you can print for use in this section of the course. As a result of the executive order and public law, hhs published the mandatory guidelines for federal. Electronic federal drug testing custody and control form. Copy 3 collector copy 000000000225 3a drug form part 3 face inks. To determine whether you have a federal, nonfederal or forensic form, look continue reading drug and alcohol testing forms faqs. For department of transportation dot drug testing, it is the course of action of documenting the management and storage of a specimen from the moment a.
Revised federal drug testing custody and control form. Department of the navy drug free workplace program. Use of the electronic federal drug testing custody and. Instructions for completing the federal drug testing custody and control form for urine specimen collection. Completed by collector make remarks when appropriate collector reads specimen temperature within 4 minutes. This means that all required information is recorded on the appropriate custody and control form. Federal drug testing custody and control form 01191. Use this form when testing employees not regulated by dot. Register authorizing the use of the new federal drug testing custody and control form ccf for use in dot regulated testing.
Web chain of custody coc form paper with tamperevident specimen seals page increments a. Federal drug testing collection instructions instructions for completing the federal drug testing custody and control form for urine specimen collection when making entries on a paper ccf, use black or blue ink pen and press firmly collector ensures that the name and address of the hhscertified instrumented initial test facility iitf or hhs. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. The final rule, among other items, added four semisynthetic opioids i. Collector ensures that the name and address of the drug testing laboratory appear on the top of the ccf and the specimen i. Dot drug testing program when did dot authorize the use of the eccf. Instructions for completing step 1 of custody and control. Paml federal drug testing custody and control fill out. Developed by the substance abuse and mental health services administration samhsa, the guidelines are aimed at standardizing drug testing policies and procedures for all federal employees in all federal agencies. An electronic custody and control form eccf is the digital version of the traditional, fivepart paper custody and control form the document used for drug test ordering, specimen collection processing, and chain of custody documentation for workplace drug testing. Filter by press enter to collapse or expand the menu.
New federal drug testing custody and control form ccf we want to remind employers and service agents that use of the new custody and control form is required starting thursday, december 1, 2011. The custody and control form for a preemployment dot test. Is the correct mros name, address, phone, and fax number listed. Make sure you are using the labcorp federal form if the test is to be given at a labcorp lab. Reminder notice direct observation for returntoduty and follow up testing. The form should have indicated that the employee was a cdldriver, being tested pursuant to fmcsa authority. The term chain of custody form is commonly referred in acronym usage as a ccf or coc, and references a document or paper trail showing the seizure, custody, control, transfer, analysis, and disposition of physical and electronic evidence of a human specimen test. Department of transportation alcohol testing form atf supplies the following list is being provided as potential sources for purchasing the federal drug testing. Instructions for completing the federal drug testing custody and control form. Only the federal drug testing custody and control form approved. The nonfederal drug testing custody and control form is used to document the management and storage of a specimen from the moment a donor gives the specimen to the collector to the final destination of the specimen.
Use the federal custody and control form to collect urine specimens for federally regulated programs. Department of the navy test designated positions tdps. Only the federal drug testing custody and control form. Ccf notice may 2018 ccf notice december 2017 english revised ccf spanish. The office of drug and alcohol policy and compliance issued a final rule on april, 2015 that allows. The detailed, 51page mandatory guidelines for federal workplace drug testing programs is available online in pdf form. Regulations federal motor carrier safety administration. The current version of the federal drug testing custody and control cff forms expires june 30, 2018. If you do not have a cdl or a coast guard position, see instructions at the bottom of the page.
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