DOT Alcohol Test Form (ATF)
Our DOT Alcohol Test Form is a 3-part form that meets the most current Dept. of Transportation revisions effective January 1, 2011. The revision date of 5/2008, located on the bottom left of the form, identifies the new forms. (Yes, even though the form is effective January 2011, the correct revision date really is 5/2008.). This official document records alcohol testing performed under the DOT regulations. It ensures every DOT-regulated alcohol test follows federal procedures and maintains a legal chain of custody.
The DOT designed these alcohol test forms to accommodate instruments that use a slip printer to print results directly on the form, as well as the Alco-Sensor IV @Work software. These DOT alcohol test forms accommodate instruments that use a slip printer to print results directly on the form, as well as the Alco-Sensor IV @Work software.
For a nominal charge we can pre-print your company’s information on the form to eliminate repetitive handwriting of employer information in Step 1 and the BAT Employer information in Step 3. See information about our imprinted DOT alcohol test forms or call for a quotation.
Alcohol Testing Form Features
- 3-part carbonless form meets current DOT requirements
- Record DOT alcohol screening and confirmation test results
- Print friendly with slip printers and Alco-Sensor IV @Work software
- Custom imprinting available for a nominal charge
- Each copy is marked to indicate how copies are distributed (employer, employee, collection site,
What’s On The Form
- Section to record the employee’s information
- Employee signature section step 2
- Reason for the test
- Section to record the DER and company information
- Testing device and 15-min wait period
- Testing type
- Testing site and collector information
- Signature sections
- Remarks section
- Section to record test results






Sarah T –
I can’t find a better price anywhere else. Alcopro ships my order the same day. I can always count on them.
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Shelley Ramsdell (verified owner) –
The form is succinct for ease of completion, the price is great, and we like the area for posting the results. The timely receipt of our order was greatly appreciated as the volume of our testing has increased substantially over the past year.
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Marc VIzcarrondo (verified owner) –
Great Product and ships quickly!
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Rutvik Patel (verified owner) –
Great service and fast delivery!
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