Pending Contractor Training & Testing Form

For contractors seeking emergent listing in the Ohio State Construction Contractor Lookup database. Complete this form to document your training and testing arrangements.

1 Employer Information

Provide your BWC policy information.

BWC Policy Number *

Company Name *

Contact Name *

Contact Email *

Contact Phone

2 Employee Training

Identify the credentialed individual conducting employee education and the date training is/was completed.

Credentialed Individual Conducting Employee Training *

Date Employee Training Scheduled/Completed *

Training Status

3 Supervisor Training

Identify the credentialed individual conducting supervisor skill-building training and the date training is/was completed.

Credentialed Individual Conducting Supervisor Training *

Date Supervisor Training Scheduled/Completed *

Training Status

4 Drug Testing

Identify the entities responsible for conducting drug testing for your workforce.

Drug Testing Provider *

Medical Review Officer (MRO) *

Laboratory *

Consortium Name (if applicable)

5 Policy Development

You must develop, implement, and provide all employees with a written substance use policy that conveys full and fair disclosure of your expectations and specifies consequences for violations.

Has your written substance use policy been developed? *

Need help developing your policy? Use our SUPR Policy Configurator or contact us at contact@supr.co.

6 Additional Notes

Any additional information or special circumstances

Substance Use Prevention & Recovery Program