DRUG AND ALCOHOL CONSORTIUM ENROLLMENT FORM
Fill out the form below in its entirety.
The information provided will be used when processing your drug and alcohol consortium enrollment. Please be sure to confirm that all the information you enter is accurate, up-to-date and spelled correctly.
Please be sure that your contact information is accurate; it is likely that we will reach out to you while we are processing your enrollment to ensure accuracy and verify compliance with any other relevant laws and regulations.
Upon submitting the application, you will be redirected to our product page, where you can pay for and complete your drug and alcohol consortium enrollment. If you have any questions or need to enroll multiple drivers, you may reach us Monday-Friday from 7:00 am to 6 pm (mountain time) at 1-877-352-1996.