Glogal DOT Drug Test

Contact Details

Driver Information

Global Drug Test Offered Services

Review

Payment Option

Company Name *

Please fill the company name

Billing First Name *

Please fill the billing first name.

Billing Last Name *

Please fill the billing last name.

Billing Street Address *

Please fill the billing address.

Primary Contact Name *

Please fill the primary contact name.

eScreen Contact Email *

Please fill the email.

Alternate Contact Name

Company Contact Email

City *

Please fill the city.

State *

Please select the state.

Zip Code *

Please fill the zip code.

Phone Number *

Please fill the phone number.

FAX

Please fill the fax.

Do you have USDOT Number?

Yes

Please choose the owner operator.

Please fill the USDOT number.

Owner Operator

Yes

Please choose the owner operator.

Please select captcha.

When entering your primary and alternate email addresses be sure not to duplicate them as you will receive duplicate emails for all notifications.
The provided email addresses will be used for all contact, including random selections, invoicing, test results, quarterly newsletters and promotional offers. Please be sure your alternate contact person/email is authorized to receive all confidential and non-confidential communication.
If you do not have a USDOT number and are not sure if you need one Click here.
An Owner Operator is someone that owns a company and is also a driver, even if he has one or more drivers working for him under his authority/USDOT number.
When selecting Yes, to “Manage FMCSA Clearinghouse Queries” Global Drug Testing will manage all of your Clearinghouse responsibilities. But you must already be registered on the clearinghouse website. If you are not registered and would like us to help you with that then check the box for “FMCSA Clearinghouse and Portal Registration Assistance”.

Add Driver	Driver Name*		D.O.B*	CDL Number*	State*	Zip Code*	Order Pre-Employment Test	DOT Physicals
	Please fill the first name.	Please fill the last name.	Please select the DoB.	Please fill the CDL number.	Please select the state.	Please select the state.	Yes No	NC RE NO Please choose the Physical Test.

After any service is purchased an email will be sent to your SUPERVISOR's/DER's contact email address from "Dontreply@escreen.com" with a link to schedule your service. Be sure to select a green in network location.
“Clearinghouse? If “Yes”, Global Drug Testing will automatically initiate a Pre-Employment query on your behalf for all the drivers listed here and anytime you add drivers in the future. You must already be registered in the FMCSA Clearinghouse and have selected Global Drug Testing as your C/TPA and that you have purchased queries in the Clearinghouse. If “NO” you are stating that you will be responsible for all of the compliance requirements.
ALL Employers, including Owner Operators, MUST register for the FMCSA Clearinghouse.
ALL Owner Operators Must select Global Drug Testing as their C/TPA during the registration process and employers of 2 or more drivers have the option.
A Full Query is required on all new drivers before you can put them into service.
Go to your company dashboard and click on “Request Clearinghouse Registration Assistance” if you need help registering in the FMCSA Clearinghouse.

Note:

The zip code added above should be the closest to the driver’s base and will be used to select his default collection clinic. This can be different than the company billing zip code.
After you have completed your enrollment these drivers listed above will be seen in your “manage Drivers” section of your portal
If the driver has NOT been a part of a random testing program for the past 30 days they must take a pre-employment drug test. You will be charged the listed rate for this service.
If a driver has been part of a random testing program during the last 30 days and you have confirmed this with the covering company and have a copy of that record then click on the button “Available for inspection” and you will only have the fee for adding the driver in our system.

Manage FMCSA Clearinghouse Queries

Yes, Manage My Clearinghouse Responsibilities

No, I Will Manage all of My Clearinghouse Responsibilities Because the FMCSA Clearinghouse compliance is Company/Authority based a selection of Yes or No here will be for all of your drivers. We will make sure all reporting and mandated queries are done for the full year.

Please choose FMCSA Clearinghouse Queries.

FMCSA Clearinghouse and Portal Registration Assistance

Registration Cost $49.00

If you are not registered in the FMCSA Clearinghouse our team of Clearinghouse specialists will assist you one on one.After you complete your registration you will receive an email with a link to schedule your appointment with one of our Clearinghouse specialists that will work with you one on one to successfully complete your FMCSA Clearinghouse registration.

Supervisor Training Certificate Course

Enroll for $50

DOT Regulations require that each company with more than one driver designate a Supervisor/Designated Employee Representative (DER) who is trained to identify drug or alcohol use at the workplace. This Supervisor must complete an approved two-hour training course.

Cost $50 after completion of your Global Drug Testing registration a separate email will be sent to you with a link to the course.

After you sign up and pay for the Supervisor Training Certification Course, we will email you a link so you can take the Course.

Supervisor Name

Please fill the supervisor name.

Supervisor Email

Please fill the supervisor email.

Note:

You can order this course at a later time on your company Dashboard.

Particulars	Qty	Unit Price	Amount
Consortium - DOT:Consortium Dues - Initial:Primary Membership	1	$99.00	$99.00
Total Amount			$99.00
Discount Amount			$0.00
Net Amount			$99.00

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I have read and agreed to the Terms and Conditions

Please accept terms and condition to proceed to submit your form.

Total Amount $

PAY WITH CREDIT CARD

Card Number *

Please fill the card number .

Expiration Month

Expiration Year

Security Code (CVV) *

Please fill the ccv.

Cardholder Name *

Please fill the cardholder name.

Please select captcha.

Note:

Company Registration

Manage FMCSA Clearinghouse Queries

FMCSA Clearinghouse and Portal Registration Assistance

Supervisor Training Certificate Course

Enroll for $50

I have read and agreed to the Terms and Conditions

Total Amount $

PAY WITH CREDIT CARD

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Manage Your Clearinghouse Queries

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