What is Refusal to Test?

A refusal to test means that the donor did not complete the drug/alcohol screen collection protocol.  Once the collector begins the collection process at the clinic, the donor must move forward and comply with the testing requirements. If at this point they interfere with the process or decide to leave early, this is considered test refusal.  All test refusals must be disclosed to DOT-covered employers for two years. 

Other factors that may be considered test refusal (aside from not completing the test) include:

• Leaving the testing site before permitted, or refusing to allow monitoring of the specimen provided.
• Wearing any type of prosthetic device that may alter testing.
• Not taking additional tests or having a medical exam when required.
• Not providing enough urine for testing without a valid medical reason.
• Failure to comply with any aspect of testing.
• Confirmation that the specimen was altered or substituted either through admission by the applicant or discovery by the Medical Review Officer.

For any DOT Driver, please refer to the FMCSA FAQ to understand what an employer needs to know in this situation.