Company's DER
Results will ONLY be sent to the DER (Designated Employer Representative).
Company's Name
*
Please enter a valid phone number.
DER's Name
*
First Name
Last Name
Phone Number
*
Direct number we can contact while testing. This will NOT be shared with the employee completing the test.
Email
*
This is the email that results will be sent to.
Testing Address (Or Area/City):
*
Employer Drug Testing Handbook
Learn more about our policies and procedures.
Click the link below to view our employer drug testing:
FlexLab’s Employer Drug Testing Handbook
I acknowledge and agree to FlexLab’s Employer Drug Testing Policies.
*
Please Select
Yes
No
Signature
DateTime
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Continue
Should be Empty: