Schedule Onsite Tests

Schedule a TADTS Client onsite collection event

Completing the collection event sends CCF copies to TADTS and the MRO once uploaded.

Collector: Scroll to the middle of this form and complete only the collector section after the collection event is completed.

*UPLOAD THE MRO COPY OF THE CCF FORMS TO EXPEDITE PROCESSING*
Submitter's Name(Required)

What's your name?
Has the requested On-Site been completed?(Required)
- Yes
- No
Company / DER Information
Employer Name(Required)
Employer Billing Address(Required)
Street Address Address Line 2 City State ZIP Code
DER Contact(Required)
First Last
DER Phone(Required)
DER Mobile Phone
DER Email(Required)
Scheduled Event Information
Requested On-Site Schedule Date(Required)
MM slash DD slash YYYY
Requested On-Site Schedule Time(Required)
24 hr format

: Hours

Minutes
Number of Collectors Approved(Required)
Please enter a number greater than or equal to 1.
Collector / Collectors Initials(Required)

Enter the initials of the TADTS collector(s) to perform the onsite.
Number of Donors Testing(Required)
Please enter a number greater than or equal to 0.
1st Donor Name
First Last
Employee ID

If this is a DOT FMCSA test, please provide CDL Number & Issuing State
2nd Donor Name
First Last
Employee ID

If this is a DOT FMCSA test, please provide CDL Number & Issuing State
3rd Donor Name
First Last
Employee ID

If this is a DOT FMCSA test, please provide CDL Number & Issuing State
List of Donors to Complete Testing
Drop files here or

Max. file size: 50 MB.
Type of Collection(Required)
- DOT / Federal
- Non-DOT / Non-Federal
DOT Authority
Reason For Test
On-Site Requested Location(Required)
Location where the collections will occur

Same as Employer Address

Street Address Address Line 2 City State ZIP Code
Nearest Collection Facility(Required)
Approved Collection Site Name
Collection Site Phone(Required)
Collection Site Email(Required)
Additional Information / Requests
To Be Completed By Collector:
Collection location address(Required)
Same as Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Collector's Name
First Last
Site Arrival Time

: Hours

Minutes
Site Departure Time

: Hours

Minutes
Total Miles Traveled (round-trip)
Enter the total number of miles traveled round-trip from your office to the collection event and back.
FedEX Tracking #
Testing Documentation
*UPLOAD ALL CCF FORMS / ATF Copies TO EXPEDITE PROCESSING* Please attach in PDF format!
Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 50 MB.
MRO Name

Enter alternate MRO Name only if Different than Dr. Paschall or Dr. Jaworski.
MRO Email

Change only if different than copy2@mrocopy.com
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Schedule a TADTS Client onsite collection event

Company / DER Information

Scheduled Event Information

To Be Completed By Collector: