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Historical textIn force on Jan. 17, 2017Source: eCFR

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Wording in the annual edition revised as of Oct. 1, 2010, superseded May 2, 2023.

eCFR as of January 17, 2017 ↗
49 CFR Appendix G to Part 40 — Appendix G to Part 40—Alcohol Testing Form. Text in force on January 17, 2017. This wording effective October 1, 2010 to May 2, 2023. Source: eCFR as of January 17, 2017, https://www.ecfr.gov/on/2017-01-17/title-49/part-40/appendix-Appendix%20G%20to%20Part%2040. Retrieved from FMCSR.com, https://fmcsr.com/reg/appendix-g-to-part-40?asof=2017-01-17, 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.