 |
| Can
the NJ State Toxicology Laboratory Help
You with Workplace, School & Sports Drug Testing? |
| Please
complete this form and click the submit button at the
bottom. |
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| Organization
Information: |
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| Organization
Name |
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| NJ
County* |
*for NJ residents only |
| Address
1 |
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| Address
2 |
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| City |
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| State |
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| Zip |
-
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| Email |
(ex: johndoe@website.com)
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| Web
Site (URL) |
(do not include http://) |
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General
Questions Regarding Your Needs: |
| |
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| Do
you currently have a drug testing program? |
Yes
No |
| Are
you under a contract for drug testing? |
Yes
No |
| If
so, with whom? |
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How
much are you paying per test? |
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Do they provide a courier service? |
Yes
No |
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When does the contract expire? |
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How many tests are done annually? |
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What
are you testing for? |
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How many drugs? |
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What
are the cut off levels you are using? |
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Is Chain of Custody an issue for you? |
Yes
No |
Who
are you testing? |
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Do you have any litigation cases? |
Yes
No |
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Do you want us to call you? |
Yes
No |
Phone |
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|
Form
Submission |
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