615-332-8838

Nationwide Drug Test Authorization Order

By signing below, I authorize ReliaLab Test (the “Company”) to order a Nationwide drug test order on behalf of the employer. I understand that, as allowed by law, the Company may rely on this authorization to order for the said employer. ReliaLab Test will email this electronic drug test order to your email. * You may need to check your email spam/junk folder for this authorization drug test order.

Employer Name(Required)

Name(Required)

First Middle Last

Other Names Used

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

SSN(Required)

Driver's License Number(Required)

Driver's License State(Required)

Applicant (or Legal Guardian) Signature of Acknowledgement and Authorization

Name(Required)

First Last

Location for Drug Test Order

City State / Province / Region ZIP / Postal Code

Background Check Authorization(Required)

By entering my name and checking this box, I am authorizing a background check and a drug test authorization order, and agreeing to use an electronic signature to demonstrate my authorization. It is as legally binding as an ink signature.

Comments

This field is for validation purposes and should be left unchanged.

Services

Order a Test

Whether you are an individual looking to get a drug test done today or an employer looking to get a pre-employment drug test done today, ordering a test online is easier than ever! Just submit your order online, receive your test authorization by email, go to your local clinic to be tested, and receive your test results in 24 to 48 hours.

Order a Test

Hours of Operation

Monday 8AM–12PM, 1–4:30PM
Tuesday 8AM–12PM, 1–4:30PM
Wednesday 8AM–12PM, 1–4:30PM
Thursday 8AM–12PM, 1–4:30PM
Friday 8AM–12:30PM, 1–3PM
Saturday Closed
Sunday Closed

If you have any questions, please do not hesitate to contact our lab.
THANK YOU FOR ALLOWING RELIALAB THE OPPORTUNITY TO BE OF SERVICE TO YOUR BUSINESS AND/OR BUSINESS NEEDS.