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1-800-463-4310

Collection Sites Supplies Order Form

To order supplies, fill in your company contact and shipping information below
and select from the items listed. To submit your order, click the “Place Order”
button at the bottom of this page and an email order will be sent to DriverCheck.

If you need assistance, contact DriverCheck at 1-800-463-4310 Monday to Friday
between 8am and 8pm EST, or email us by clicking this link: help

Your Company Information:

Collection Site Name:

Contact Name

Phone Number

Email Address

Street Address

Postal Code

City

Province

Alcohol Supplies:

Select a quantity for each product below:

Mouthpieces (Draeger 7410 EBT)
Mouthpieces (AlcoSensor IV Black Dot EBT)
Tamper evident tape (roll)
Printer ribbon (Breathalyzer 7410)
Q.E.D.s
Printer ribbon (AlcoSensor IV)
AlcoScreen

POCT Supplies:

E-Z Split Key Cup (7 Panel)
E-Z Split Key Cup (8 Panel)
Custody and Control Forms - English
Custody and Control Forms - French

Lab Supplies:

DOT Custody and Control Forms: English
DOT Custody and Control Forms: French
Non DOT Custody and Control Forms: English
Non DOT Custody and Control Forms: French
Split drug kits
Purolator Waybills

Request other items not listed above: