Public learner reference. Reading or printing this file does not record course time or award completion. Use the registered classroom for separate alcohol/drug instruction, exercises, checks and assessment. Use fictional facts only.
This is not an actual test order, result, diagnosis, refusal finding or Clearinghouse report. The trained employer official must make and sign the actual record.
Entries remain in this page only. Print before closing. Keep actual employee information in authorized secure employer systems.