Drug Test Supply Order Form

Complete the following form to order drug testing supplies with your LabCorp account number.

Contact Information
* denotes mandatory fields
Supplies Requested

Enter quantity requested for each item ordered. Specimen Collection Kits (minimum 10 kits – max. 200, increments, of 25)

Kit includes: 1 - Biohazard Specimen Shipping Bag 1- Wide Mouth Collection Cup with Temperature Strip 2 - 45ml UrineSpecimen Transport Vial
Kit includes: 1 - Biohazard Specimen Shipping Bag 1 - 90ml Urine Specimen Container with Temperature Strip
Chain of Custody Forms
(min.10 forms, increments of 25, max 500)

Web Chain of Custody (COC) Form Paper with tamper-evident specimen seals (1000 page increments)

Miscellaneus Supplies
Employer Information

Required for all chain of custody orders (A-D)

Copy from Contact Information

Medical Review Officer Information

Required for all chain of custody orders (A-D)

Copy from Contact Information

Shipping Information

Required for all chain of custody orders (A-D)

Copy from Contact Information

Overnight Shipping Request

All supplies shipped via ground unless customer’s overnight courier account information is provided.

Allow 3-10 business days for ground delivery.