Internal-Consortium-Form DOT Agency* FMCSA FRA FRA (MOW) FAA FTA PHMSA USCG FMCSA* Driver 25% Drugs and 10% Alcohol USCG* Crewmember Random rate 25% for drugs No Alcohol FAA* Flight Crew Member (pilot, flight, engineer) Flight Attendant Flight Instruction Aircraft Dispatcher Maintenance or preventative Ground Security Coordinator Aviation Screening Air Traffic Control Operations Control Specialist Random Rate Drug 25% and 10% Alcohol PHMSA* Operations (control the movement or storage of gas, LNG, Hazardous or Carbon Dioxide) Maintenance (preserve a pipeline of LNG facility for future use) Emergency Response (steps taken to identify emergencies, protect people and return a pipeline or LNG facility to normal operation) Random rate 50% drugs Alcohol N/A FTA* Operate a transit revenue vehicle Operate a non-revenue vehicle that Requires a CDL Mechanic Armed Security Random Rate 25% and 10% for Alcohol FRA* Train Employee Dispatch Employee Signal Employee Random Rate 25% drug and 10% alcohol FRA (MOW)* Train employee Dispatch service employee Signal Employee Random Rate 50% and Alcohol 25%-Employee, volunteer or contractor for a railroad company Membership Type* New Entry Add To Existing Pool Payment Method* Paid Invoice Packages* Complete Compliance Consortium Only Consortium + Test Supervisor Training MVR Report State Fees AK $10.00* AL $9.75 AR $13.00 AZ (3) $6.00 / (5) $8.00 CA $2.00 CO $2.20 CT $18.00 DC $13.00 DE $15.00 FL (3) $8.10 / (7) $10.10 GA (3) $6.00 / (7) $8.00 HI $23.00 IA $8.50 ID $9.00 IL $12.00 IN $7.50 KS $8.70 KY $5.50 LA $6.00 MA $8.00 MD $12.00 ME $7.00 MI $8.00 MN $5.00 MO $5.80 MS $14.00 MT $7.25 NC $8.00 ND $3.00 NE $3.00 NH $12.00* NJ $12.00 NM $6.50 NV $7.00 NY $7.00 OH $5.00 OK $27.50 OR $9.63* PA $8.00* RI $20.00 SC $7.25 SD $5.00 TN $7.00 TX (3) $6.50 / (5CDL) $7.50 UT $9.00 VA $7.00 VT $16.00* WA $13.00 WI $7.00 WV $9.00 WY $5.00 CN See Sherri PR $33.50 * Test Scheduled Has Credit Membership Term* 1 Year 2 Year 3 year DER Name* DER Phone* Company Name* Address Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code DER Email* Donor Info* Name CDL Number Phone Zip Covered Position Amount / Total Name on Card* CC Number EXP Date* Billing Zip Code* Testing Center Name* CVV CODE* Testing Center Address Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Additional Information* Phone Fax Collection Fee Collection Site Hours* LAB Quest LabCorp Alere Notes File* Drop files here or