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Historical textIn force on June 1, 2015Source: annual CFR editions 2010–2016

Appendix G to Part 40 Appendix G to Part 40—Alcohol Testing Form

Wording in the annual edition revised as of Oct. 1, 2010, superseded May 2, 2023.

govinfo, 2014 edition ↗
Before Jan. 1, 2017 the record is one snapshot per annual CFR edition, revised as of October 1. This is the 2014 edition's wording. An amendment that took effect between Oct. 1, 2014 and June 1, 2015 would not appear until the next edition, so check the citations below and the Federal Register for exact effective dates.
What changedOct. 1, 2001 wording → Oct. 1, 2010 wording+32 added−51 removedHide

The following form is the alcohol testing form required for use in the DOT alcohol testing program beginning AugustJanuary 1, 20012011. UseEmployers ofare the form is authorized beginningto Januaryuse 18, 2001.
[Figure or graphic omitted. See the officialform source.]
[Figureeffective orFebruary graphic25, omitted2010. See the official source.]
[Figure75 orFR graphic8529, omittedFeb. See25, the2010, officialas source.]
[Figureamended orat graphic75 omitted.FR See13009, the official sourceMar.]
[Figure or18, graphic2010; omitted.75 SeeFR the38423, officialJuly source.2, 2010]

49 CFR Appendix G to Part 40 — Appendix G to Part 40—Alcohol Testing Form. Text in force on June 1, 2015. This wording effective October 1, 2010 to May 2, 2023. Source: govinfo, 2014 edition, https://www.govinfo.gov/app/details/CFR-2014-title49-vol1/CFR-2014-title49-vol1-part40. Retrieved from FMCSR.com, https://fmcsr.com/reg/appendix-g-to-part-40?asof=2015-06-01, on October 26, 2026. Unofficial compilation; verify against the official source.

The following form is the alcohol testing form required for use in the DOT alcohol testing program beginning January 1, 2011. Employers are authorized to use the form effective February 25, 2010.

[75 FR 8529, Feb. 25, 2010, as amended at 75 FR 13009, Mar. 18, 2010; 75 FR 38423, July 2, 2010]

Amendment history

4 distinct wordings on file since Oct. 1, 2001
  1. June 1, 2023 → presenteCFR, day-precisediff vs. previous
    [65 FR 79526, Dec. 19, 2000. Redesignated at 88 FR 27651, May 2, 2023]
  2. May 2, 2023 → June 1, 2023eCFR, day-precisediff vs. previous
    [75 FR 8529, Feb. 25, 2010, as amended at 75 FR 13009, Mar. 18, 2010; 75 FR 38423, July 2, 2010]
  3. Oct. 1, 2010 → May 2, 2023annual editions 2010–2016diff vs. previousviewing
    [75 FR 8529, Feb. 25, 2010, as amended at 75 FR 13009, Mar. 18, 2010; 75 FR 38423, July 2, 2010]
  4. Oct. 1, 2001 → Oct. 1, 2010annual editions 2001–2009

A new entry appears whenever the regulatory words change between government snapshots. Day-precise from the eCFR (2017 onward); before that, one snapshot per annual CFR edition (revised as of October 1). Bracketed citations are the Federal Register history printed with the section.