American Drug Testing Consortium
Enrollment Application / Agreement
Do Not Press the Back Button
Existing ADTC clients can NOT add employees using this form, please contact us by phone (800-528-9075) or email (email@example.com) with changes or additional information.
Step 1 - Enter your company name and designated employee representative.
Read the agreement. Scroll down and select your Division , enter your DOT or vessel
number (if applicable), and your contact information.
Then click the "Go To Step 2" button to add employees.
"DER" is the "Designated Employee Representative"
(the person to receive all correspondence).
I/We understand that by joining this consortium and not refusing to be tested when selected, we meet the necessary requirements as listed in 46 CFR Parts 4, 5,16 & 49 CFR Part 40 & 14 CFR Part 120 for drug and alcohol testing for DHS, DOT, FMCSA, FTA, PHMSA and FAA. This program will place us in full compliance with federal drug testing laws. We further understand that continuous membership in the consortium will require an annual payment of the membership fee in addition to the charge that is in effect for testing and processing the sample whenever randomly selected. Current testing fees, as of this date, are $65 for Random Drug Tests and $45 for Random Alcohol Tests. All fees are subject to change.
If I/we change our mind about joining this consortium, we will be refunded any membership fees paid, if the refund is requested within 30 days of the date of this application. I/We further understand that I/we may request removal of our name from the consortium membership for any reason, at any time, by notifying American Drug Testing Consortium, or by declining to renew our membership by the following January 1st of any year.
Aviation Division (FAA)
Coast Guard Division (USCG)
Driver Division (FMCSA)
Federal Transit Administration (FTA)
Pipeline Division (PHMSA)
Federal DOT # or USCG Vessel Number:
Click the Go To Step 2" button below. You will add yourself as an employee (if sole proprietor) and/or add employee information and the total to be charged to your card will be calculated.
6279 Main St. Trumbull, CT 06611
1 800 528 9075
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American Drug Testing Consortium.
All Rights Reserved.