DOT Compliance Help, Inc.

DOT-Mandated CDL Driver Drug and Alcohol Policy Wizard

Please complete the short form below. After we have received all of your information, we will build a fully-compliant drug and alcohol policy specifically for your company's CDL drivers. Once completed, a draft will be emailed to you and one of our technicians will be in contact to discuss any other modifications needed before finalizing the policy.

Part A - Company Information

Company Name *

US DOT # *

Street Address *

City *

State *

Zip Code *

Company Phone *

Requestor Name *

Email Address *

Secondary Phone

Part B - Company Preferences

Do you want your drivers to inform you of any and all LEGAL prescription medications they are taking regardless of any impact it might have on their ability to drive? *

No

Yes (Recommended)

The required time a driver must stop using alcohol before driving is four (4) hours, however, you can choose to make it eight (8) hours to help ensure no alcohol is in the blood. Please choose one: *

4 Hours (Required)

8 Hours (Recommended)

All drivers are required to notify their supervisor within five (5) days of any criminal drug statute conviction, however, you can choose to make your drivers notify you immediately. Please choose one: *

Driver must notify supervisor within five (5) days (Required)

Driver must notify supervisor immediately (Recommended)

Do you want a Certain Termination (Zero Tolerance) or a Possible Termination Policy? It is at your discretion to choose. If you choose "Certain Termination", you MUST terminate ALL drivers for ANY controlled substance violation. But if you choose "Possible Termination," it is up to the Designated Employer Representative to choose if the driver will be fired or given a second chance. The Possible Termination allows some flexibility in the rare case that there may be extenuating circumstances. In either case, the driver should be referred to a Substance Abuse Professional (SAP). *

Certain Termination (Zero Telerance)

Possible Termination

Will you require a non-DOT post-accident Drug and Alcohol test even for Non-DOT circumstances? *

No

Yes

If you answered "Yes" to the above question, please state the exact conditions under which you will require a drug and alcohol test after an accident under non-DOT circumstances.

Test for any type of accident

Test only when required by the reglations

Test if damages are greater than $___________.

Other Other

If you chose to require tests based on damages, please provide the dollar amount.

Please add any other specific guidelines, statements or comments that you would like included in the policy.

Part C - Designated Employee Representative
(Who will manage the policy and answer drivers' questions?)

DER Name *

DER Contact Number *

DER Office Address *Must be the physical address for the DER (no PO boxes)
*

Payment Information

NOTE: The amount billed will be $199.

TERMS AND CONDITIONS
All DOT Compliance Help, Inc. terms and conditions can be found on our website, here.
You consent to being sent an e-invoice to the email address you provided.

Please understand your registration is not complete until full payment is made. If payment is not received within 3 days of invoicing, the request will be cancelled and invoice voided.

You can complete payment by submitting credit card information through the e-invoice sent to you via Quickbooks, or you may call 847-836-6063 to pay over the phone. Invoicing may take up to 48 hours.

NOTE: The amount billed will be $199. *

I agree

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