Random Drug & Alcohol Testing Program Enrollment Form

Please fill out this form to begin the process of enrolling in our random program.

Registration as an employer with med-stop is required to complete the enrollment. If you haven't done so yet, you may register here: https://med-stop.com/employerreg

More info about consortiums: https://www.fmcsa.dot.gov/regulations/drug-alcohol-testing/what-are-consortiumthird-party-administrators

Should you have any questions please contact 773-467-7745.

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.