Please enter your information so we can contact you with any questions.

If you have a preferred testing location, please enter it here. We can also provide you with a list of available testing locations upon signup.

You can enter up to six (6) employees using this form or select the upload option below to instead attach a complete list of your employees to include in the random selection process.

Enter only one employee's information at a time.

Enter only one employee's information at a time.

Enter only one employee's information at a time.

Enter only one employee's information at a time.

Enter only one employee's information at a time.

Enter only one employee's information at a time.

You will receive an invoice via email within 48 hours after you submit this application. Your membership begins upon receipt of payment. Please note any pre-employment or random test will need to be done in accordance with USDOT to remain in compliance with Federal and State regulations. Becoming a member of the Salter's Safety Assistance Consortium is only the first step in compliance with said regulations.