ICSA (Independent Carriers Safety Association) Client Membership

Are you interested in joining the ICSA (Independent Carriers Safety Association) program? Start by filling out the following form.

Company Name*
Your Name*
First Last
Assigned Company DOT #*
DOT #
Number of DOT Drivers*
Address*
Street Address Address Line 2 City State Zip
Phone*
Email*
Agency/Underwriter Information*
Agency Name Agent Name Email Address
Is your company currently enrolled in a DOT Random Drug Testing Program?*
- Yes
- No
Name of company managing your drug testing program:*
Are you satisfied with the level of service provided by your current testing program?*
- Yes, I would like to keep my current drug testing service provider and register for Mohave hair testing ONLY through TADTS.
- No, I would like to transfer DOT Consortium services to TADTS program, in addition to receiving Mohave hair testing services.
- I would like TADTS to send me more information before I decide.
List of Drivers/State-CDL#*
Optional – Upload Excel Spreadsheet of Active Driver Info
Accepted file types: xlsx, csv, xls, pdf, Max. file size: 50 MB.
Please provide the following information for each driver: Driver Name, CDL# and Issuing State, Date of Birth
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