Five Part Federally Approved Chain of Custody Forms

Five Part Federally Approved Drug Test Chain of Custody Forms

“Chain of Custody” refers to the document or paper trail showing the seizure, custody, control, transfer, analysis, and disposition of physical and electronic evidence. For drug testing, it is the course of action of documenting the management and storage of a specimen from the moment a donor gives the specimen to the collector to the final destination of the specimen and the review and reporting of the final result. Any and all drug testing should incorporate a Chain of Custody form and process to insure the integrity of the specimen to be tested.

Chain of Custody format

• OMB No. 0930-0158
• Continuous – 9.5 ” x 11″ (8.5 ” x 11″ after detaching)
• 5 Part set
  • Copy 1 Test Facility copy
  • Copy 2 Medical Review Officer copy
  • Copy 3 Collector copy
  • Copy 4 Employer copy
  • Copy 5 Donor copy
• 2 Built-in Specimen Labels on Copy 1
• Form sets have Specimen ID Numbers
• Each form set has its own Specimen ID Number
• Same Specimen Number is Bar Coded and Arabic-numbered on each of the two built-in Specimen Labels (A and B)
• Built-in Specimen Labels (A and B) are to be affixed as specimen bottle seals.
• Carbonless Transfer – computer printing, and hand-writing, appear on all parts

The in-stock form is a federally mandated five-part form with two specimen labels and comes in quantities as small as 50 forms to meet smaller business needs. Each set is sequentually numbered and uses carbonless transfer so is usable in printers or with handwriting.