When a donor behaves in a confrontational way that disrupts the collection process, such as refusing to empty pockets or refusing to wash hands after being directed to do so by the collector, this is considered interfering with the testing process and is considered a refusal to test. The collector must stop the collection then contact the Designated Employer Representative (DER) regarding the refusal either by telephone, email, or secure fax to ensure that notification is immediately received. The collector must document the refusal to test on the Federal Custody and Control Form (CCF) and send all copies of the CCF to the DER.
If a donor makes an attempt to provide a specimen and the quantity is not sufficient (QNS) and the donor refuses to make a second attempt to provide another urine specimen or leaves the collection site before the collection process is completed, this is considered a refusal to test. The collector must stop the collection and discard any urine collected. The collector must notify the DER as outlined above, document the refusal to test on the Federal CCF and forward all copies of the CCF to the DER.