Company Enrollment Application

Please provide the name above.
If "no" we provide a rental for $50, would you like to be put on the waiting list?
If "Yes" estimate the dates of operation?
  • Owner/Operators will need to fill out the Employee/Driver Profile.
  • All new DOT employees must be added to your Random Pool and must be drug tested PRIOR to beginning employment.
  • Random Testing Percentages will follow al Mandatory Compliance Guidelines unless otherwise specifically stated.
For 20 or more, continue on with your submission but please do contact us at 1-800-457-5508 for special pricing.

As an Authorized Representative of the above named company, I hereby agree to participate in the ADTS~Alcohol & Drug Testing Services Substance Abuse Program as indicated.  I agree to abide by all rules, policies and procedures of the program.  I acknowledge that at anytime either party may cancel this contract with a thirty- (30) day written notice.  I acknowledge enrollment in this program will expire 12 months from the date of this contract and that this contract will automatically renew on the next day following expiration unless notification in writing is received by ADTS prior to the expiration date.  I understand I have thirty (30) days to review the ADTS ~Alcohol & Drug Testing Services Compliance Package and if I am not completely satisfied, upon return of the complete package, I will receive a full refund of fees.  I understand the entire contents of the ADTS~Alcohol & Drug Testing Services Substance Abuse Program is the sole property of ADTS and cannot be transferred or reproduced in any fashion without the express written permission of ADTS~Alcohol & Drug Testing Services.