Guidance on using Sample General Consent Form Provided by FMCSA

Q&A

Does the Federal Motor Carrier Safety Administration (FMCSA) provide a sample of a limited consent request?

Guidance:

Yes, a sample general consent form is available at https://clearinghouse.fmcsa.dot.gov/Resource/Index/Sample-Limited-Consent-Form . FMCSA does not require that motor carrier employers subject to the Agency’s drug and alcohol use and testing regulations in 49 CFR Part 382 use this sample format to obtain an employee’s general consent to conduct a limited query of the Drug and Alcohol Clearinghouse. Employers may, however, use or adapt the content as they see fit. See 49 CFR 382.703(a).