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Lifeloc Technologies Dot Form Three Part Form

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Dot Form Three Part Form

The Dot Form Three Part Form is a breath alcohol form used for DOT-mandated alcohol testing. It fits workplaces and testing programs that need an alcohol test form aligned with 49CFRpart40 requirements. This SKU is sold as 1 each.

Good Fit For

  • DOT alcohol testing workflows
  • Workplaces that administer mandated alcohol testing
  • Facilities that need alcohol test forms for compliance documentation

Key Features

  • Breath alcohol form for DOT-mandated alcohol testing
  • Also referred to as an alcohol test form ATF
  • Meets requirements specified in 49CFRpart40
  • Three-part form format
  • Sold as 1 each for replacement or low-volume purchasing

Applications and Usage

  • Documenting DOT-mandated alcohol testing
  • Supporting breath alcohol testing records in regulated workplaces

Packaging and Handling

  • Packaging: EA.
  • Check your workflow to confirm a three-part form matches your documentation process.
  • This item is intended for DOT alcohol testing documentation where 49CFRpart40 requirements apply.

FAQ

  • What is this form used for? The Dot Form Three Part Form is used for DOT-mandated alcohol testing as a breath alcohol form.
  • Does this form meet DOT requirements? Yes. The product details state that these DOT forms meet the requirements specified in 49CFRpart40.
  • Is this the same as an alcohol test form? Yes. The product details note that DOT breath alcohol forms are also called alcohol test forms, or ATF.
  • How many forms come with this item? This SKU is sold as 1 each.

From Lifeloc Technologies.

  • Quantity : 1 Each

Prescription Information

A valid medical prescription must be submitted to Betty Mills within seven (7) days for the ordered item(s), and shipping will be on hold until the prescription is received. If the prescription is not provided within this timeframe, the order may be canceled. This requirement does not apply to licensed care providers, training facilities, equivalent qualified professionals, or licensed wholesalers, who are exempt from this policy.

Prescriptions may be sent via:

Fax
(650) 443-5201
Email
RX@bettymills.com
Mail
The Betty Mills Company, Inc.
19 South B Street Suite 8
San Mateo, CA 94401

You are entitled to a free consultation following the purchase of this item.

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