ASTS Corporation - Alternative Safety & Testing Solutions
Transit Federal Aviation Motor Carriers Pipelines & Hazardous Materials

Client Setup Sheet
Please fill out the Client Setup Sheet completely before you submit to ASTS. A confirmation email will be sent to the email address that you have supplied in the Clinic Information area once we have received your request. If you do not receive a confirmation email, please contact our office at 800-477-3177.

Alternately, the form can be downloaded and faxed to (616) 534-5545

*Client Type:

 Direct ASTS Client     Reseller/Escreen     Update Client Information   

*Is there a Drug screen pending for this client?
 Yes     No   

*Company Name:
*Zip Code:
1st Contact:
2nd Contact:


*Services (Check all that apply — at least one)
 DOT     Non-DOT     MRO ALL     MRO Positive Only (Non-DOT)   


*Results Delivery Via
 Email     Secured Fax     EScreen   


Random Selections
Number of employees for random pool:  
Please attach employee list:


Percentages - Drugs:     Alcohol: 
Frequency:     Quarterly     Monthly


Random List Delivery Via
 Email     Secured Fax   


If this client has any unique reporting requirements, please contact ASTS at 1-800-477-3177


Clinic Information (must be completed in full)

Submitted By* :
Phone Number* :
Clinic Location* :
Your Email Address* :


Verification - Enter the code as shown




  • bottes fr
  • Google adword can let you on the analysis of how to use accurate keyword query the results you want, like lebron11 the word, you can get through the Google search words.And you use kdvi results than retrojordan search to a more accurate.
    Recommend all work at kobe 9,With the development of modern society, more and more people to pay more attention to body health, through outdoor sports, to increase their own health choose Jordan 11 gamma let oneself more convenient movement, or use Lebron 12 is also a good choice.

    Click for the BBB Business Review of this Safety Consultants in Grand Rapids MI
    Web Site Development by Revel