drug

APPLICATION

EMPLOYER APPLICATION

Company Information:

BILLING INFORMATION:
RESULTS DELIVERED:

* IF YES, you will need to provide the name, phone and zip code for each candidate you want included. We will need a total number of candidates to be selected per month. Each name will be placed in our auto generator and randomly selected to report to the nearest facility in their area for drug screening. You will determine the timeframe for them to report. Most referring agencies give a 12 hour window, some give 24 hours, its your choice.