Printable blank Chain of Custody Form

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What Is the Chain of Custody Form?

The Chain of Custody Form is used for the confirmation that a specimen was handled in the right way during the drug testing. There are federally mandated chain of custody and control procedures that every treatment center should follow, and this free form certifies this. 

What Do I Need the Chain of Custody Form For?

  • Medical facilities, counseling services, and other business centers that make the drug testing should fill out this online form for each specimen;
  • You might need this form if the results of the test are challenged, and you should prove that the specimen was handled correctly. 

How to Fill Out the Chain of Custody Form?

Step 1: Fill out the description of the specimen

The fillable Chain of Custody Form contains two PDF pages and five parts. In the first one, you should indicate the information about when and where the specimen was collected or received. There is also a field for a tracking number and case ID number. Then you need to fill out the description of the articles.

Step 2: Chain of custody section

The next part is a chain of custody, which should include information about who was responsible for this specimen. Also, every facility worker should fill out the purpose of change of custody and make a sign. You should indicate the final disposal action and authority at the bottom of the blank. 

Step 3: Signing the document

The last field is for the witness to the destruction of an evidence sign. You can download the Chain of Custody Form and print it on the PDFLiner website. 

Organizations that work with Chain of Custody Form

Department of Transportation (DOT) drug testing.

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