COMPANY INFORMATION

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Same as billing address?
Same as physical address?

PLEASE SELECT SERVICES REQUIRED

Please select services required:
Select Drug Screen Type(s): *
How would you like Results/Reports sent? *
**DOT and most State laws require a drug and alcohol policy.

Designated Employer Representative (DER)

If "YES", Please ADD the DER as an employee in the form below.

Employee(s) to be added to random selection pool

** If you are adding more than 20 employees, please contact us for a seperate form **
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Support

If you have additional questions or concerns, please feel free to contact us (406) 256-2037 or Email us at: Support@mtchemnet.com
 
Please note that with any changes you make to your account with us, you should recieve a response from our staff within (3) business days.  If not, please contact us directly to verify your changes have been made.