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Madisonville

By Andrew Horn | June 8, 2020

200 Clinic Dr
Madisonville, KY 42431

200 Clinic Dr
Madisonville, KY 42431

919 N Main St
Madisonville, KY 42431

919 N Main St
Madisonville, KY 42431

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DOT Consortium Program Enrollment Form

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Step 1: Contact Information:
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*
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* DOT pre-employment drug test must be completed before driver is added to random pool.

Step 2: Choose Enrollment Package:
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- Basic Package ($100)
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- Compliance Package ($300)
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  - Part 40.25 Form (Required for all drivers)
Optional Add On
*
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- Part 40.25 Form ($25)
- Supervisor Training ($50/each)
- Paper Copies of 49 CFR Part 40 & 382 ($25)
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- No Additional Add-Ons = $0.00
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Add all columns on front and back on this form.
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