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Implementation Guidelines - Federal Transit Administration - U.S. ...

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Retains<br />

CCF1<br />

Split<br />

Lab<br />

- CCF1<br />

Laboratory<br />

Retains - CCF1<br />

CCF Chain of Custody & Control Form<br />

ATF Alcohol Testing Form<br />

* Optional<br />

PRE-EMPLOYMENT FORM FLOW<br />

CCF1<br />

CCF1<br />

Personnel Department<br />

Generates - Notice to Applicant - Order to Test Form*<br />

- Previous Employer<br />

Consent<br />

- Employee Consent<br />

- Previous Employer<br />

Information Request<br />

Generates<br />

Order to Test<br />

Form*<br />

Collection Site<br />

- CCF1<br />

- CCF2<br />

- CCF3<br />

- CCF4<br />

- CCF5<br />

Retains - CCF3<br />

CCF2<br />

Medical Review Officer<br />

Generates - Test Result<br />

Summary<br />

Form<br />

Retains - CCF2<br />

CCF5<br />

Information Request<br />

Employee Consent<br />

Notice to Applicant Employee<br />

CCF4<br />

Order to Test Form*<br />

Test Result Summary<br />

Form<br />

Previous Employers<br />

Generates - Previous Test<br />

Results<br />

DAPM<br />

Generates - Master Log*<br />

Retain - CCF4<br />

- Test Result<br />

Summary<br />

Form<br />

- Notice to<br />

Applicant<br />

- Order to Test<br />

Form*<br />

- Previous<br />

Employer<br />

Records<br />

Chapter 10. Administrative Requirements 10-19 August 2002

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