M2Z Compliance Solutions
A Division of M2Z Holdings, LLC
DOT CONSORTIUM ENROLLMENT
Driver Interest & Enrollment Form
The M2Z DOT Consortium manages your random drug & alcohol testing program so you stay compliant with FMCSA requirements. As an owner-operator or CDL driver, joining a consortium is required if you don't have an employer managing your testing. Fill out this short form to get enrolled — takes under 2 minutes.
STEP 1 — YOUR INFORMATION
Full Legal Name As it appears on your CDL
Date of Birth MM/DD/YYYY
-
Month
-
Day
Year
Date
Last 4 of SSN For identity verification only
Phone
Format: (000) 000-0000.
Email
example@example.com
Mailing Address Street, City, State, ZIP
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CDL Number & State e.g., GA123456789
STEP 2—YOUR OPERATION
I operate as:
Owner-Operator (Leased to a Carrier)
Owner-Operator (Independent / My Own Authority)
Company Driver (No employer-managed testing program)
Just Got My CDL / Pre-Employment
DOT Number Your USDOT #, if applicable
MC Number Motor Carrier #, if applicable
Current Employer / Carrier Write 'Independent' if self-employed
STEP 3—FMCSA CLEARINGHOUSE STATUS
Important: M2Z is required to query the FMCSA Drug & Alcohol Clearinghouse before enrolling any driver. Please answer the questions below honestly.
Are you currently in Prohibited status in the FMCSA Clearinghouse?
No - I am clear to drive
Yes - I am working through the RTD process
I'm not sure / I need help checking
Have you completed a SAP evaluation in the last 12 months?
No
Yes - SAP name / contact below
Currently in progress
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M2Z Compliance Solutions
A Division of M2Z Holdings, LLC
DOT CONSORTIUM ENROLLMENT
Driver Interest & Enrollment Form
SAP Name & Contact If yes above - optional but helpful
STEP 4—CONSORTIUM ENROLLMENT DETAILS
Testing type needed:
Testing type needed:
Drug Testing Only
Alcohol Testing Only
Drug & Alcohol (Both) - Recommended
How did you hear about M2Z?
How did you hear about M2Z?
Google Search
Recruiter or Carrier
How did you hear about M2Z?
Social Media
Other
Referral from Another Driver
How do you prefer we contact you?
Phone Call
Text Message
Email
STEP 5—SIGN & SUBMIT
By signing I confirm that:
I hold a valid CDL and am subject to DOT drug & alcohol testing requirements
The information above is accurate and complete
I authorize M2Z to query the FMCSA Clearinghouse on my behalf
I understand consortium membership requires an annual fee paid to M2Z
I consent to random drug & alcohol testing as required by 49 CFR Part 382
Enrollment is not complete until payment is received and your Clearinghouse query is processed. M2Z will contact you within 1 business day to confirm enrollment and next steps.
Printed Name
Date
-
Month
-
Day
Year
Date
Signature
Date
-
Month
-
Day
Year
Date
SUBMIT THIS FORM
Email to: info@m2zcompliance.com
Enroll online at: www.m2zcompliance.com
Call or text us to enroll by phone
FOR OFFICE USE ONLY
Date Received:
-
Month
-
Day
Year
Date
Clearinghouse Queried:
Yes
No
Status
Enrolled
Pending
Hold
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