Industry Drug and Alcohol Testing Program

Suggested Formats & Forms

• Alcohol Misuse by Part 67 Medical Certificate Holders-Sample Reporting Format (MS Word)
• Emergency Maintenance Report 14 CFR Part 91, for Fractional Ownership Operators (MS Word)
• Emergency Maintenance Report 14 CFR Sections 135/91.147 Operators (MS Word)
• Management Information System (MIS) Data Collection Form (PDF)
• Refusal to Submit to Required Drug and Alcohol Tests by 14 CFR Part 61/63/65 Certificate Holders-Sample Reporting Format (MS Word)
• Registering an Antidrug and Alcohol Misuse Prevention Program-Sample Format (MS Word)
• Authorize the Release of Drug and Alcohol Testing Records
  • Release of Information Form - Suggested Format (PDF)
  • Release of Information Form (Pilots Only - PRIA) (PDF)
    • Overview and Use of Form (Pilots Only - PRIA) (MS Word)
• Verified Positive Drug Test Results for Part 67 Medical Certificate Holders-Sample Reporting Format (MS Word)