[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-189433-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-189433-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","drug-test-collection-site-affidavit-of-correction","Drug Test Collection Site Affidavit of Correction","","This document is a \"DOT Custody and Control Form - Affidavit of Correction.\" It is designed to address errors that may occur during the drug testing collection process, specifically related to the use of the Federal Custody and Control Form. The affidavit prompts the user to identify specific errors encountered at various stages of the collection, including Step 1 (Employer/MRO/Donor/Test Information), Step 2 (Specimen Collection Requirements), Step 3 (Bottle Seals), Step 4 (Collector Information), and Step 5 (Donor Information). For each step, checkboxes are provided for common mistakes such as missing or incorrect names, addresses, identification numbers, test details, temperature readings, split collection markings, observed collection markings, and remarks. It also addresses issues with bottle seals, signatures, dates, times, and delivery service information. The form requires the collector to provide a description of the error and the corrective action taken, and to certify the accuracy of the information by signing and dating the affidavit.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/drug-test-collection-site-affidavit-of-correction/189433/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/drug-test-collection-site-affidavit-of-correction/189433.png","ImageObject",442,249,{"name":42,"@type":43},"Chloe Bennett","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-26","2026-09-03",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What is the purpose of the DOT Custody and Control Form - Affidavit of Correction?","Question",{"text":62,"@type":63},"The purpose of this affidavit is to document and address errors that occurred during the drug testing collection process, specifically concerning the use of the Federal Custody and Control Form.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What information is required in Step 1 of the affidavit?",{"text":67,"@type":63},"Step 1 requires identifying errors related to the Employer Name/Address, MRO Name/Address/Phone/Fax, Donor SSN/Employee ID, Testing Authority, Reason for Test, Drug Tests Performed, and Collection Site Address/Collector Phone/Fax.",{"name":69,"@type":60,"acceptedAnswer":70},"What are some common errors listed for Step 4 (Collector Information)?",{"text":71,"@type":63},"Common errors for Step 4 include missing Collector Signature, missing Collector's Printed Name, missing/incorrect Date of Collection, missing/incorrect Time of Collection, and missing Name of Delivery Service.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},189433,1790045180,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},962084925782,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","EMPLOYER NAME/LOGO\nDOT Custody and Control Form - Affidavit of Correction\nDate of Test:\nDonor Name:\nSpecimen ID#:\nCollector Name:\nThis affidavit addresses the following errors:\nUse of Federal Custody and Control Form (§40.45):\nIncorrect form used (i.e. Non-DOT or expired testing form used)\nStep 1 Requirements (§40.63) Check all that apply:\nA. Missing/Incorrect Employer Name, Address\nB. Missing/Incorrect MRO Name, Address, Phone No. and Fax No.\nC. Missing/Incorrect Donor SSN or Employee ID No.\nD. Missing/Incorrect Testing Authority\nE. Missing/Incorrect Reason for Test\nF. Missing/Incorrect Drug Tests to be Performed\nG. Missing/Incorrect Collection Site Address, Collector Phone No. and Fax No.\nStep 2 Requirements (§40.65 - §40.71) Check all that apply:\nCollector failed indicate if the specimen was within the acceptable temperature range\nCollector failed to mark “Split” Collection\nCollector failed to mark “Observed”\nCollector arbitrarily marked “Observed”\nMissing appropriate comment in the Remarks (i.e. any unusual circumstances during the collection)\nStep 3 Requirements (§40.71):\nBottle seals were dated and/or initialed while still affixed to the CCF\nStep 4 Requirements (§40.73) Check all that apply:\nMissing Signature of Collector\nMissing Collector’s Printed Name (First, MI, Last)\nMissing/Incorrect Date of Collection\nMissing/Incorrect Time of Collection\nMissing Name of Delivery Service\nStep 5 Requirements (§40.73) Check all that apply:\nMissing Signature of Donor\nMissing Donor’s Printed Name (First, MI, Last)\nMissing/Incorrect Date of Collection\nMissing/Incorrect Daytime Phone No. and/or Evening Phone No.\nMissing/Incorrect Date of Birth\nCollector Remarks (Description of error/corrective action):\nI certify that the information above is true and accurate.\nCollector Signature\t\t\t\t\tDate","cbCaidxlrBspKufx","https://ap.wps.com/l/cbCaidxlrBspKufx","docx",26553,"English","# DOT Custody and Control Form - Affidavit of Correction\n## Use of Federal Custody and Control Form (§40.45)\n## Step 1 Requirements (§40.63)\n## Step 2 Requirements (§40.65 - §40.71)\n## Step 3 Requirements (§40.71)\n## Step 4 Requirements (§40.73)\n## Step 5 Requirements (§40.73)\n## Collector Remarks","[{\"question\":\"What is the purpose of the DOT Custody and Control Form - Affidavit of Correction?\",\"answer\":\"The purpose of this affidavit is to document and address errors that occurred during the drug testing collection process, specifically concerning the use of the Federal Custody and Control Form.\"},{\"question\":\"What information is required in Step 1 of the affidavit?\",\"answer\":\"Step 1 requires identifying errors related to the Employer Name/Address, MRO Name/Address/Phone/Fax, Donor SSN/Employee ID, Testing Authority, Reason for Test, Drug Tests Performed, and Collection Site Address/Collector Phone/Fax.\"},{\"question\":\"What are some common errors listed for Step 4 (Collector Information)?\",\"answer\":\"Common errors for Step 4 include missing Collector Signature, missing Collector's Printed Name, missing/incorrect Date of Collection, missing/incorrect Time of Collection, and missing Name of Delivery Service.\"}]","Drug Test Collection Site Affidavit of Correction | DOCX",1788396790]