The page below is a sample from the LabCE course Department of Transportation (DOT) Federally Regulated Urine Specimen Collection Training. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Completing Step 5 of the Federal Drug Testing CCF: Donor Completes Certification Statement

The collector now directs the donor to read, sign, and date the certification statement located on the MEDICAL REVIEW OFFICER COPY (Copy 2) of the custody and control form. The donor must provide printed name, signature, date of birth, and day and evening contact telephone numbers. If the donor refuses to complete this section, the collector is to note the fact under the remarks section on page 1 (TEST FACILITY COPY).