Collection Site Instructions Company Pre Employ[3821]

User Manual:

Open the PDF directly: View PDF .
Page Count: 2

Download
Open PDF In Browser	View PDF

COLLECTION SITE INSTRUCTIONS
Candidate/Employee Name

4/22/2019

Technology Co-Op

Position Applied for
Printed Name of Person
Requesting Testing

Date

Cameron Stark

Requestor
Phone

Bianca Teague

312-915-5183
-

American Airlines (AA) has sent this donor to you for testing. AA does not conduct pre-employment alcohol testing. If the donor did
not bring an AA Custody and Control Form (CCF) with them, please follow the directions below for electronic CCF (eCCF).
Dedicated AA collection site, please use the appropriate AA CCF. Please note: The Company (Non-Federal) Drug Testing Custody
and Control Form’s appearance is very similar to a federal form. The Client Name on top of the form should read: AMR.COMP.xxx.
If able to use electronic CCF (eCCF):
- Use FormFox and CRL (Clinical Reference Laboratory) as the lab
- AA’s Account for Company testing with CRL is AMR.COMP.xxx
- AA’s Account for federal testing with CRL is AMR.AA.xxx
- xxx = the 3 letter airport code of the nearest large airport to your location; there is a dot {.} between each of the ‘words’ - If you do
not know the closest airport 3 letter code, please use HDQ.
- Please see the information marked below to direct you on the type and reason for the testing.

Test Type
Federal / DOT Test

Company / Non-DOT Test

Urine Drug Screen

Breath Alcohol Test

Test Reason
Pre-Employment

Return To Duty

Follow-Up

Random

Reasonable Cause / Suspicion

Post-Accident

•

MRO Copy can be emailed to mroair@wfqa.com or faxed to 385-549-8714
MRO: Paul Teynor MD
WorkforceQA/CSS
1430 S. Main St.
Salt Lake City, UT 84115
PH: 801-503-3493 Fax: 385-549-8714

•

Fax immediately the Employer Copy CCF and then mail original CCF and any other necessary documents to:
American Airlines, Inc.
Bridget Kerchner, DER
Drug & Alcohol Program
Office: 817-967-9286
4333 Amon Carter Blvd, MD 5187
Cell: 817-729-4247

FT Worth TX 76155
FAX: 817-967-9290

Liz Scarim, Specialist
Office: 817-967-9692
Cell: 817-705-0484
American Airlines company testing procedures follow the DOT regulation protocols for insufficient amount, temperature out of
range, and other irregularities in the specimen collection process. If you have any questions, please call one of the American
Airlines’ contacts above.



---

Source Exif Data:

File Type                       : PDF
File Type Extension             : pdf
MIME Type                       : application/pdf
PDF Version                     : 1.7
Linearized                      : No
Page Count                      : 2
Language                        : en-US
Tagged PDF                      : Yes
XMP Toolkit                     : 3.1-701
Producer                        : Microsoft® Word for Office 365
Creator                         : Scarim, Elizabeth
Creator Tool                    : Microsoft® Word for Office 365
Create Date                     : 2019:04:22 08:07:18-04:00
Modify Date                     : 2019:04:22 08:07:18-04:00
Document ID                     : uuid:53DF5CF2-65EE-4627-A0F0-1DD35C2A6D08
Instance ID                     : uuid:53DF5CF2-65EE-4627-A0F0-1DD35C2A6D08
Author                          : Scarim, Elizabeth

EXIF Metadata provided by EXIF.tools