Every federally regulated urine or oral-fluid drug test, including DOT tests for FMCSA, FAA, FRA, FTA, PHMSA and USCG employers, travels with this five-part chain-of-custody form. Collectors and the laboratory complete the custody steps, and the Medical Review Officer uses Copy 2 to record the verified result for the primary specimen and, when tested, the split specimen.
The collector or employer representative completes Step 1, the collector Steps 2 to 4, and the donor signs the Step 5 certification on Copy 2. The Medical Review Officer, a licensed physician, completes Step 6 (primary specimen) and Step 7 (split specimen) on Copy 2.
Download the current version from the source each time; forms change without notice.
Federal Drug Testing Custody and Control Form
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Step 5 tells donors the MRO may contact them about prescription and over-the-counter medications, and that a list is not necessary. If donors choose to make one, they write it on a separate sheet or on the back of their own Copy 5, never on any other copy of the form.
Only the Medical Review Officer, a licensed physician who reviews and verifies the laboratory result. Step 6 asks for the MRO's signature, printed name and date beneath the verification, stated as made in accordance with applicable federal requirements. Step 7 has the same signature block for the split specimen result.
Federal CCFs used for real tests are pre-printed with a unique specimen ID number that matches the bottle labels and seals, and HHS-certified laboratories supply them. The SAMHSA posting is a proof showing the layout of all five copies. An HHS-approved electronic CCF can be used instead for DOT tests.