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Drug Testing Request Form Template

Simplify Your Employee Drug Testing Process

Navigating the complexities of employee drug testing can be overwhelming. This Drug Testing Request Form Template is designed for HR managers and team leaders looking to simplify the request and authorization process for drug tests. You'll benefit from quick submissions, clearer communication with testing facilities, and enhanced compliance with regulations. Additionally, this template helps ensure confidentiality and speeds up the overall drug testing workflow. Try out the live template to see how it can transform your testing process.

Organization or company name
Requester full name
Requester email
Requester phone
Relationship to donor
Employer
School
Court or legal
Parent or guardian
Self
Other
Please Specify:
Donor full name
Donor date of birth
Donor phone
Donor gender
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Reason for test
Pre-employment
Random
Reasonable suspicion
Post-accident
Return-to-duty
Follow-up
Personal or voluntary
Court-ordered
Other
Please Specify:
Specimen type
Urine
Saliva (oral fluid)
Hair
Blood
Unsure - please advise
Panel selection
5-panel
7-panel
9-panel
10-panel
12-panel
Unsure - please advise
Add-on screens requested (select all that apply)
Alcohol (breath)
Alcohol (EtG/urine)
Expanded opioids
Synthetic cannabinoids (K2/Spice)
Expanded benzodiazepines
Fentanyl
Nicotine/cotinine
None
Is this a DOT-regulated test?
Yes
No
MRO review and chain-of-custody required?
Yes
No
Preferred collection date
Preferred time window
Morning
Afternoon
Evening
No preference
City, ZIP, or address for collection
Collection location preference
Clinic or collection site
Onsite at my location
At-home kit mailed to donor
Not sure - please advise
Where should results be sent? (select all that apply)
Requester email on file
Donor email
Additional email(s)
Secure portal only
Fax
Provide recipient email(s) or fax number for results
Require donor consent before releasing results?
Yes
No
Who will pay for the test?
Requester or organization
Donor (self-pay)
Third party or billing account
Not sure
Type your full name as your signature
Signature date
I confirm I am authorized to request this drug test and that the information provided is accurate.
Yes
No
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Paper art illustration depicting a drug testing request form with design elements relevant to FormCreatorAI

When to use this form

Use this request when you need a fast, documented process for employee, volunteer, or student screening. HR teams use it for pre-employment checks, random programs, return-to-duty, and reasonable-suspicion reviews. Safety managers rely on it after incidents to set deadlines, capture consent, and provide chain-of-custody details, so labs know exactly what to do. Clinic staff can route requests, schedule collection, and note who gets results. If you need a urine panel, reference the Urine drug screen form to specify collection method. When testing follows a workplace injury that requires moving a patient between facilities, coordinate logistics alongside the Hospital transfer form. The outcome: fewer back-and-forth emails, clear instructions for collectors, and faster, defensible results.

Must Ask Drug Testing Request Questions

  1. What is the testing reason (pre-employment, random, post-incident, reasonable suspicion, or return-to-duty)?

    This sets urgency, documentation steps, and notifications so you follow your policy and local rules. It also gives your MRO and HR the context needed to interpret results correctly.

  2. Which specimen type and panel do you need, and should it be observed?

    Clear choices (urine, saliva, hair; 5-, 10-, or custom panel) prevent mismatched orders and retests. It also guides collectors and labs on the exact procedures to follow.

  3. Where should collection occur and by what deadline?

    Location and timing let you schedule, minimize downtime, and maintain chain of custody. If collection happens during a hospital visit, align documentation with the Hospital discharge form.

  4. Who is authorized to receive the results, and how should we deliver them?

    Defining recipients and delivery method helps you meet privacy requirements and avoid delays. It ensures labs send reports securely to the right person, the first time.

  5. Are there medications, conditions, or accommodations we should note?

    Listing prescriptions, recent procedures, or needed accommodations helps the MRO assess potential false positives. It also prepares collectors for observed collections or alternative methods when required.

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