DOT Drug Testing That Actually Works When You Need It
How Testing Works
From order submission to verified reporting, your program stays managed by one accountable team.
Step 1: Order Digitally
Step 2: Test Anywhere
Step 3: Results Fast
Complete Compliance for Every DOT Agency
We ensure full regulatory compliance for:
From First Call to Fully Compliant in 48 Hours
Our proven onboarding process
Initial Consultation (15-30 min)
We learn about your operation, driver count, and current challenges. You'll speak with a real person who understands DOT regulations, not a sales script reader.
Custom Program Quote (Same Day)
Transparent pricing based on your fleet size and needs, with Clearinghouse query fees billed separately and no surprise administrative add-ons.
Onboarding and Setup (24-48 hours)
We transfer your participant list, set up random pools, configure Clearinghouse access, and assign your dedicated program administrator.
First Random Pull Scheduled
We verify your roster for accuracy, run the selection, and send ready-to-distribute notification letters with collection site instructions.
Ongoing Compliance Support
24/7 post-accident support, same-day reporting after MRO verification, automatic affidavit corrections, and annual DOT report preparation.
Authorized Partner Network
We utilize the nation’s most trusted labs and integrated electronic systems.
Certifications and Compliance
Built for Reliability When Compliance Matters
The numbers that matter to DOT-regulated employers
Collection Sites Nationwide
Post-Accident Support
FMCSA Clearinghouse Compliance
Average Reporting Time
Why Employers Start Here
Core decision points employers and DERs review first when selecting program administration support.
All DOT agencies supported
Nationwide collection site network
24/7 post-accident assistance
Same-day reporting after MRO verification
Employers Who Switched Tell Us Why
Join hundreds of companies who trust us with their DOT compliance
“We had post-accident timing problems with our previous provider. After switching, we had zero timing violations and passed our next FMCSA audit.”
★★★★★
“They rebuilt our documentation workflow in 48 hours after a failed review. We passed re-audit three months later with cleaner records and less internal stress.”
★★★★★
“I was paying more and getting less support. The owner-operator program cut my annual cost and gave me direct access to a real administrator.”
★★★★★
Common Questions from Employers Considering a Switch
Get answers before you call
How long does it take to switch to US Drug Check from my current C/TPA?
Most employers are fully operational within 48 hours. We handle all transfer paperwork, participant list migration, and random pool setup. You'll speak with your assigned administrator on day one to review your specific needs.
What if I only have 1-5 drivers? Is this worth it for small fleets?
Absolutely. Our owner-operator program is specifically designed for small fleets and independent drivers. You get the same compliance support as large fleets, with pricing that makes sense for your operation size. Many of our clients are owner-operators.
Do you charge extra for Clearinghouse queries and reporting?
Clearinghouse query fees are billed separately. US Drug Check manages the workflow, reporting support, and documentation tracking so required steps are not missed.
What happens if I need a drug test at 2 AM after an accident?
You call our 24/7 emergency line and speak with a live administrator, not a voicemail system. We locate the nearest open collection site and coordinate the test to meet DOT required timeframes for post-accident testing.
How do random selections work? Do I have to manage the process myself?
We manage the entire random selection process. Before each quarterly or monthly pull, we verify your participant roster with you to ensure accuracy. Then we run the selection, generate the analysis reports, and send pre-filled notification letters and collection site instructions.
What if a test result comes back positive? What support do I get?
You're assigned a dedicated program administrator who guides each step: employee communication protocols, required DOT forms, Substance Abuse Professional (SAP) referral, return-to-duty process, and follow-up testing schedules.
Your Compliance Shield
FMCSA Clearinghouse Management
Automated Random Pools
24/7 Post-Accident Support
MRO and Substance Abuse Professional (SAP) Support
Positive Results and Affidavits
Sensitive-result events are handled with direct administrator support so employers and DERs are not left to manage alone.
Positive results support workflow
Affidavits of correction
Audit-Ready Record Keeping
100% accuracy support via affidavits
Real-time electronic reporting
What Employers Commonly Compare Before Choosing a C/TPA
US Drug Check is built around these expectations.
| Feature | US Drug Check | Typical C/TPA |
|---|---|---|
| Live agent response time | ✓ Within minutes | ✗ 24-48 hour callbacks |
| Post-accident support | ✓ 24/7 real person answers | ✗ Voicemail after hours |
| Affidavit corrections | ✓ Automatic to Lab/MRO | ✗ Manual, DER handles |
| Random roster verification | ✓ Verified before every pull | ✗ Annual or upon request |
| Clearinghouse queries | ✓ Managed with your program (query fees billed separately) | ✗ Often extra charge |
| Results reporting delivery | ✓ Same day after MRO | ✗ 2-3 business days |
*Based on comparison of top 5 national C/TPA providers, industry research 2024-2025