Drug Testing Chain of Custody Forms

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

Please fill out the form at the bottom of this page to request a custom Chain of Custody quote. Please let us know if you have logo, ink color, company imprint, or other special requirements. (Minimum quantity is 2,500)

Common Questions:

What is chain of custody?

What is a chain of custody form?

Does a chain of custody count as a drug test?