Return to Duty Process Sign-Up - Quick Enrollment

RTD Followup Setup Plan $100.00/Driver
Clearing House Reporting Charges $30.00
Each DOT Urine Drug Test $99.95 (inc. Observed Collection Fees)
Each Breath Alcohol Test $79.95

Enrolled Successfully

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For any asistance call 980-655-4455

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Return to Duty

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Last Name*

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Phone*

Employer Information*

Owner Operator

SAP Information*

Agreement

Terms and Conditions for Return to Duty Enrollment Program.

The main purpose of the DOT RTD process is to put truck drivers back on the road who have tested positive for drug or alcohol prohibition, or who have refused a mandatory drug and/or alcohol test.

By using our online return to duty process services, you agree to the following terms and conditions:

Driver must complete SAP-recommended instructive or treatment program.
goMDnow RTD services manage return to duty testing program. SAP evaluations exclusively focus on treatment and education.
You understand that our fees are separate from the fees charged by the SAP. You also understand that our fees are non-refundable and non-transferable.
goMDnow will require Initial and Confirmation SAP Evaluation with Follow up Testing plan report from SAP professional
goMDnow will not provide any information given on SAP report. For any questions and concerns about SAP report please reach out to your SAP professional.
Under any circumstances goMDnow will not disclose amount of follows-ups needed to be complete.
You must follow testing plan under any circumstances (e.g Travelling, Vacation etc)
Failed to comply with any goMDnow testing plan, user will be withdrawn from the RTD program and will be reported to clearing-house as “Refuse to Drug Test”
User must be provide Negative “Return to Duty” result before starting random follow up testing plan.
If you successfully pass your return-to-duty test, you will be eligible to resume your safety-sensitive duties, subject to your employer's discretion. However, you will still be required to undergo follow-up testing for a period of time determined by the SAP.
You understand that all return to duty and follow up tests must be conducted under direct observation by a trained collector, as per CFR Part 40 Section 40.67
If you want to switch to another company while doing the return to duty program, you need to provide your written consent and the a request from the new company.
Once your RTD program is successfully handover to new company, goMDnow will close your account and will no longer responsible for your testing program.

Sign Consent Form

For verification purpose please choose OTP option

goMDnow OTP will expire in 10 minutes
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Return to Duty Enrollment Fee:	$
Clearing House Reporting Charges:	$
Total:	$

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I understand that once I have submitted my information and payment has been received this order will be non-refundable. I have read and understand the
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Driver/Owner Operator Information

Full Name:

CDL Number:

Contact Info (Phone/Email):

Employer Information

Employer Name:

Company Name:

US DOT No:

Contact Info (Phone/Email):

Consent and Acknowledgement

I, , holder of CDL Number , hereby provide my informed consent regarding the arrangements for my Return-to-Duty (RTD) and Follow-Up Drug Testing after completing RTD step 1-4 as mandated by the U.S. Department of Transportation (DOT) regulations.

As Owner Operator or my employer has authorised me to independently hire goMDnow as an Independent Consortium Third-Party Administrator (TPA) to facilitate and conduct all DOT-required RTD and follow-up drug testing.
My employer, , does not assume responsibility for performing my Step 5 and 6, i.e RTD and follow-up drug testing requirements.
I accept full responsibility for selecting and coordinating with the designated Independent Consortium/TPA to ensure adherence to the DOT regulations for drug testing.
I understand that all costs, communication, and procedures related to my RTD and follow-up drug testing will be managed between myself and the hired Independent Consortium/TPA.

By signing below, I acknowledge that I fully understand the terms outlined in this consent form, and I voluntarily agree to these arrangements.

Print Driver’s Name:

Note:

goMDnow RTD program operates in strict compliance with the U.S. Department of Transportation's regulations for workplace drug and alcohol testing programs (49 CFR Part 40). This regulation sets forth specific standards for specimen collection, laboratory testing, medical review officer (MRO) processes, and recordkeeping. By becoming a member of our RTD services, driver’s return to duty and follow up drug testing program will be in line with federal regulations.

Under any circumstances goMDnow will not be able to provide information regarding Substance Abuse Professional (SAP) report.

Drivers must provide active phone number and email to receive important testing program notifications.
Standard Call/Text rates may apply
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