0 items$0.00

Products search

(916) 520-0244
info@radtesting.com

In Network Partner Locations

[wpsl]

Clinic Locator

Purchase Drug Test

DOT Consortium Log In

Home
About RAD
Alcohol & Drug Testing
Industry Education
DOT Consortium
Find Testing Location
DNA Testing

Home
About RAD
Alcohol & Drug Testing
Industry Education
DOT Consortium
Find Testing Location
DNA Testing

Shop

Keokuk

By Andrew Horn | June 8, 2020

928 Main St
Keokuk, IA 52632

RAD IS HERE TO HELP

Feel free to contact us regarding drug and alcohol testing, ordering drug tests, questions about our products, finding a facility, or our workplace safety training. Call us toll free (916) 520-0244 or fill out the form below.

help form

Name*
Email Address*
Phone
Subject
Message*
CAPTCHA

Keep Up!

Stay up-to-date with our upcoming events! Follow us online or subscribe to our mailing list for more info!

Name

Please enter your name.

Email Address

Please enter a valid email address.

Loop Me In!

Thanks for subscribing! Please check your email for further instructions.

Something went wrong. Please check your entries and try again.

Site Links

Home
About RAD
Alcohol & Drug Testing
Industry Education
DOT Consortium
Find Testing Location
DNA Testing

Get In Touch!

(916) 520-0244

1435 N. Market Blvd.
Suite #11
Sacramento, CA 95834

info@radtesting.com

Business Hours: 24/7

Purchase Products

For a comprehensive list of all Drug Testing & DNA Products Click Here

Buy Now

Privacy Policy, Terms & Conditions, Additional Product Terms

DOT Consortium Program Enrollment Form

Step 1 of 2

50%

Company Name:*
Step 1: Contact Information:
Contact Name:*
Address 1:*
Address 2:
City:*
State:*
Zip:*
Phone:*
Fax:
Cell Phone:
E-mail Address:*
Company DOT Name:
DOT #
Consortium Type: Check 1 box only, Designated Employee Representative (DER) information is required*
*
- Owner Operator
- Company with 2 or more Drivers to enroll in Consortium Pool
- Company with 100 or more Drivers for a Stand-Alone Random Pool
Owner Operator:*
Driver Name:*
Driver SSN or Employee ID:*
DER Name:*
DER Phone #:*
DER Cell #:*
DER E-mail:*
* DOT pre-employment drug test must be completed before driver is added to random pool.

Step 2: Choose Enrollment Package:
*
- Basic Package ($100)
  - 1-Year Enrollment in Randoms
  - Certification of Enrollment
  - Paper CCFs or Electronic CCFs
  - $60 Drug Test / $50 Breath Alcohol
- Compliance Package ($300)
  All Benefits of Basic Package plus:
  - 2 Free Drug Tests
  - DOT Policy
  - Required Supervisor Training
  - Part 40.25 Form (Required for all drivers)
Optional Add On
*
- 2 Additional Years of Enrollment ($100)
- Part 40.25 Form ($25)
- Supervisor Training ($50/each)
- Paper Copies of 49 CFR Part 40 & 382 ($25)
- DOT Policy ($75)
- DOT Pre-Employment Drug Test ($60)
- No Additional Add-Ons = $0.00
All fees must be remitted with this form.
Add all columns on front and back on this form.
Step 3: Payment:
Please Proceed to the shop page to purchase your desired package. Your application will not be processed without purchase.
*
- Card Holder Signature I agree
- I have read and agree to the website Terms and Conditions
- I have read and agree to the website Additional Products Terms

×

Scroll To Top

In Network Partner Locations

RAD IS HERE TO HELP

help form

Keep Up!

Site Links

Get In Touch!

Purchase Products

DOT Consortium Program Enrollment Form

Step 1 of 2

Step 1: Contact Information:

Step 2: Choose Enrollment Package:

Optional Add On

Step 3: Payment: