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The d-o-t / USCG periodic drug testing form is pretty straightforward section one is just applicant consent and you have to fill in your last name first name middle name reference number if applicable so those getting an original license will not have a reference number so you'll just put your social security number in here they want it in this format three numbers two numbers four numbers and then you'll end up signing and dating it and then as we continue down to section two this is the Samsa accredited laboratory and then section three is completed by the Medical Review officer so you won't have to do any of that and as we come down to the second page of the form there are certain programs which will disqualify you from meeting this form or to say it another way there's certain programs that will work in lieu of using this form you can get a letter from these programs and you will include those in your application packet you won't need this form so a periodic drug testing program and it's described here on the right random drug testing program described here on the right and pre-employment testing program described here on the right and this is a loophole I've slipped through with my last renewal I was in a random drug testing program because I was working on a pair of sailboat and I got a letter from my random drug testing program and submitted that with my packet and that took the place of this form now this form is very easy the hardest part for people is actually finding lab with the Medical Review officer and I want to point you in the right direction so you can get a good start if you need to use this form because you don't qualify with any of the options below to use instead of this form we can go to the Coast Guard's website at USC GTL you let the sea cheetah mill we'll go here on the right side says Mariners click on Mariners and then you'll see up top it says drug testing you can click on drug test and then it has right here a PDF drug testing directory users guide click on that click OK and now what it'll do it'll give you helpful links to locate one of these facilities and it will give you instructions and then there's more resources down here it'll point you in the right direction I just wanted to show you that that's available so you can use it as a resource if you're having trouble so we're gonna go back to the forum so that's about that's about it that will give you a really good head start on this drug test form you just fill out the top read the bottoms below just read the options below to see if you qualify if one of these options pertain to you and if.