Download a free, fillable drug test result form for every drug test cup we sell. Each form is matched to its cup: the panels, abbreviations and cutoff levels on the form are the ones on that device, so the person reading the test only has to tick a result for each panel.

Every form records the test and donor details, the temperature and specimen validity checks, a result for each panel, the overall result and laboratory follow-up, and collector and donor signatures. Fill it in on screen or print it on US Letter paper.

How it works

How to Use a Drug Test Result Form

1. Download the form for your cup

Find your cup below by panel count and name. The product name and SKU code are printed at the bottom of each form.

2. Record the collection

Fill in the donor, specimen ID, device lot and expiration date, and read the temperature strip within 4 minutes.

3. Read and record each panel

Read the cup at the time given in its product insert and tick Negative, Non-negative or Invalid for every panel.

4. Confirm and file

Send non-negative specimens for laboratory confirmation, then sign the form and keep it with your program records.

Result forms

Find the Result Form for Your Cup

5 Panel Click Cup with Methamphetamine & Adulterants – CLIA Waived 120 mL

5 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

5 Panel Click Cup with PCP & Adulterants – CLIA Waived 120 mL

5 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

5 Panel Drug Test Cup with MAMP & Adulterants – 90ml

5 Panel Drug Test Cup – CLIA Waived 120ml

5 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

5 panel drug test kit

5 panel drug test No THC

5 Panel Urine Drug Test with PCP/25 & Adulterants – 90ml

5 Panel Urine Screen with BZO & 3 ADLTX – 120ml

5 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

6 panel drug screen test ADLTX – CLIA, FDA

6 panels · CLIA-waived device
Download form (PDF)View cup →

6 Panel Drug Test Cup with Adulteration Testing – 90ml

6 Panel Drug Test Cup with BUP, OXY and OPI/300

6 panels · CLIA-waived device
Download form (PDF)View cup →

6 Panel Drug Test Cup with KRA, XYL, K2, FEN, OPI/300, & ETG

6 panels · Forensic Use Only
Download form (PDF)View cup →

6 Panel Specialty Drug Test Cup – Fentanyl, EtG, Kratom, K2 & Xylazine

6 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

CLIA-Waived 6 Panel Drug Screen Cup – AMP, COC, MET, OPI, PCP & THC

6 panels · CLIA-waived device
Download form (PDF)View cup →

Economy 6 panel drug test cup CLIA waived

Economy 6 Panel Urine Drug Test Cup – 90ml

6 panels · 90 mL · CLIA-waived device
Download form (PDF)View cup →

7 Panel Drug Test Cup – Quick Drug screens Test Cup

7 panels · CLIA-waived device
Download form (PDF)View cup →

Economy 7 panel drug test no THC

7 panels · 90 mL · CLIA-waived device
Download form (PDF)View cup →

Economy 7 Panel Drug Test Screen 90ml

7 panels · 90 mL · CLIA-waived device
Download form (PDF)View cup →

8 Panel Drug Test Cup with K2 & EtG – OPI/2000

8 panels · Forensic Use Only
Download form (PDF)View cup →

8 panel drug test – EtG & FEN

8 panels · Forensic Use Only
Download form (PDF)View cup →

8 panel drug test – Quick Drug screens Test Cup

8 panels · CLIA-waived device
Download form (PDF)View cup →

Economy 8 Panel Drug Test Cup with ETG/300, FEN/20

8 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 8 panel urine drug test with K2/50, ETG/300

8 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

10 Panel Drug Screen Cup with MDMA & Buprenorphine – 90ml

10 panels · 90 mL · CLIA-waived device
Download form (PDF)View cup →

10 Panel Drug Test Cup – CLIA, FDA

10 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

10 Panel Drug Test with Alcohol, Fentanyl & SVT – 90ml

10 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

10 Panel Drug Test with EtG & Fentanyl – 120ml Cup

10 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

10 Panel Drug Test with Fentanyl (FYL) – 120ml Cup

10 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

10 Panel Urine Test with Barbiturates & THC – 90ml Cup

10 panels · 90 mL · CLIA-waived device
Download form (PDF)View cup →

120ml 10 Panel Drug Test Cup with K2, MDMA & OPI2000

10 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

120ml 10 Panel Drug Test with Kratom, Fentanyl, K2 & EtG

10 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

90ml 10 Panel Drug Test with K2 & MDMA

10 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

90ml 10 Panel Drug Test with Kratom, K2 & EtG

10 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

CLIA Waived 10 Panel Drug Test Cup with Fentanyl 1 ng/mL

10 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

Ten Panel Drug Test with OPI 2000 & MDMA – 120ml Cup

10 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

11 Panel Drug Test Cup – CLIA Waived, No THC

11 panels · CLIA-waived device
Download form (PDF)View cup →

12 Panel Drug Test Cup with Adulterants – TCA & ADLTX

12 Panel Drug Test with EtG (Alcohol) & Fentanyl

12 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

12 Panel Drug Test with EtG and Fentanyl – 90 mL

12 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

12 Panel K2 Urine Drug Test Cup – 120 mL

12 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

12 Panel PCP Drug Test Kit – CLIA-Waived Urine Cup

12 panels · CLIA-waived device
Download form (PDF)View cup →

12 Panel Rapid Drug Test with BUP, EtG, FEN & ADLTX – 90 mL

12 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

12 Panel Round Urine Test Cup with K2 – 90 mL

12 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

12 Panel TCA Test Cup – CLIA-Waived Urine Drug Test Cup

12 panels · CLIA-waived device
Download form (PDF)View cup →

12 Panel Urine Drug Test Cup with EtG, Fentanyl & ADLTX – 120 mL

12 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

12 Panel Vacuum Urine Cup

CLIA Waived 12 Panel Drug Test Cup with Fentanyl 1 ng/mL

12 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

Compact 90 mL CLIA-Waived 12 Panel Urine Cup

12 panels · 90 mL · CLIA-waived device
Download form (PDF)View cup →

EtG FEN 12 Panel Urine Test Cup with Adulterants – 90 mL

12 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Kratom Drug Test Cup – 12 Panel K2, EtG & FEN

12 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

Serenity 12 Panel Drug Test with BUP, EtG, FEN & ADLTX – 120 mL

12 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

13 Panel Drug Screen with Gabapentin, EtG & Fentanyl

13 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

13 Panel Drug Test Cup ETG – 90ml

13 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

13 panel drug test cup with FYL

13 panels · Forensic Use Only
Download form (PDF)View cup →

13 Panel Drug Test with ETG, FYL, TRA – 90ml

13 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

13 Panel Drug Test with KRA, K2, ETG & FEN

13 panels · Forensic Use Only
Download form (PDF)View cup →

13 panel FYL urine test with ADLTX

13 panels · Forensic Use Only
Download form (PDF)View cup →

13 panel urine drug screen with FYL, EtG & K2

13 panels · Forensic Use Only
Download form (PDF)View cup →

13 panel urine drug test with MOP & ETG

13 panels · Forensic Use Only
Download form (PDF)View cup →

13 panel urine test with EtG, FEN & ADLTX

CLIA Waived 13 Panel Drug Test Cup FEN

13 panels · CLIA-waived device
Download form (PDF)View cup →

Economy 13 Panel Drug Test ETG with Fentanyl, Kratom & ADLTX – 90 mL

13 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

14 Panel Drug Screen Cup with GAB, K2, EtG & FEN – Forensic Use Only

14 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

14 Panel Drug Test Cup with EtG, Fentanyl & Adulterants

14 panels · Forensic Use Only
Download form (PDF)View cup →

14 Panel Drug Test with EtG, Fentanyl & Tramadol

14 panels · Forensic Use Only
Download form (PDF)View cup →

14 Panel Urine Drug Test Cup with EtG, Fentanyl & PCP

14 panels · Forensic Use Only
Download form (PDF)View cup →

14 Panel Urine Test Cup with EtG, Fentanyl, K2, Tramadol & ADLTX

14 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

14 Panel Urine Test Cup with hCG, EtG & Fentanyl

14 panels · Forensic Use Only
Download form (PDF)View cup →

CLIA Waived 14 Panel Drug Test Cup with Fentanyl & EDDP

14 panels · CLIA-waived device
Download form (PDF)View cup →

CLIA Waived 14 Panel Drug Test Cup with Tramadol, Fentanyl & ADLTX

14 panels · 120 mL · CLIA-waived device
Download form (PDF)View cup →

Economy 90ml 14 Panel Drug Test Cup with EtG, Fentanyl & PCP

14 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 90ml 14 Panel Drug Test Kit with PPX, K2 & Tramadol

14 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 90ml 14 Panel Drug Test with EtG, Fentanyl, K2, Tramadol & ADLTX

14 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 90ml 14 Panel Drug Test with PPX, TCA & ADLTX

120ml 15 Panel Drug Test Cup with EtG, FEN, KRA & ADLTX

15 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

120ml 15 Panel Drug Test with K2, K3, K4, Kratom, BUP & 6-MAM

15 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

15 Panel Drug Test with Ketamine, Kratom, EtG, Fentanyl & ADLTX – 90ml

15 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

15 Panel Gabapentin Drug Test Cup with Fentanyl and EtG

15 panels · Forensic Use Only
Download form (PDF)View cup →

CLIA Waived 15 Panel Drug Test Cup with FEN, NFYL & EDDP

15 panels · 90 mL · CLIA-waived device
Download form (PDF)View cup →

Economy 15 Panel Drug Test with K2, K3, K4, Kratom & 6-MAM – 90ml

15 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 15 Panel Drug Test with K2, Kratom, Tramadol, EtG & Fentanyl – 90ml

15 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 90ml 15 Panel Drug Test Cup with EtG, Fentanyl, Tramadol & ADLTX

15 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

16 Panel Drug Screen with Tramadol, EtG, Fentanyl & K2

16 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

16 Panel Drug Test Cup with Kratom, EtG & Fentanyl

16 panels · Forensic Use Only
Download form (PDF)View cup →

16 Panel Drug Test Cup with Tramadol, EtG & Fentanyl

16 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

16 Panel Drug Test Kit with Kratom, Fentanyl, EtG & K2

16 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

16 Panel Drug Test with KET, K2, EtG, FYL & ADLTX – 90ml

16 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

16 Panel Urine Drug Test with EtG, Fentanyl, K2 & Tramadol

16 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

CLIA Waived 16 Panel Drug Test Cup with Fentanyl

16 panels · CLIA-waived device
Download form (PDF)View cup →

17 panel drug screen – GAB, FEN, EtG, KRA

17 panels · Forensic Use Only
Download form (PDF)View cup →

17 Panel Drug Test – GAB, FEN, EtG, KRA – 90ml

17 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

CLIA Waived 17 Panel Drug Test Cup, FEN, NFYL, EDDP

17 panels · CLIA-waived device
Download form (PDF)View cup →

18 Panel Drug Screen Cup with Gabapentin, EtG, Fentanyl & ADLTX

18 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

18 Panel Drug Screen with ADLTX, EtG, Fentanyl & Kratom

18 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

18 Panel Drug Test with EtG, Fentanyl & Ketamine

18 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

18 Panel Test Cup with Xylazine & Kratom

18 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 18 Panel Drug Test Cup – 90 mL

18 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

Economy 18 Panel Drug Test Kit 90 mL with ADLTX, K2 & Kratom

18 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

20 panel drug test – GAB, K2, FEN, ETG, KRAT, ADLTX

20 panels · Forensic Use Only
Download form (PDF)View cup →

Economy 20 panel drug screen 90ml – GAB, KRA, KET

20 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

21 Panel Drug Screen Cup – PSY, XYL, FEN, EtG & ADLTX

21 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

21 Panel Drug Test Cup – DXM, GAB, LSD, 6-MAM & ADLTX

21 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

21 Panel Drug Test Cup – ZAZA, XYL, PSY & ADLTX

21 panels · 120 mL · Forensic Use Only
Download form (PDF)View cup →

22 panel drug test

22 panels · Forensic Use Only
Download form (PDF)View cup →

24 Panel Drug Test Cup – MED, Alpha-PVP, LSD, NIT, XYL & More

24 panels · 90 mL · Forensic Use Only
Download form (PDF)View cup →

28 panel drug test

28 panels · Forensic Use Only
Download form (PDF)View cup →

28 Panel Drug Test Cup with Medetomidine, Nitazene & Xylazine

28 panels · Forensic Use Only
Download form (PDF)View cup →

Important

Before You Use These Forms

  • Preliminary results only. Rapid drug tests give qualitative, preliminary results. Confirm non-negative results with a laboratory method according to your program’s procedures.
  • Not for DOT testing. These forms are not a Federal Custody and Control Form and must not be used for DOT-regulated testing under 49 CFR Part 40.
  • CLIA-waived or Forensic Use Only. Each form states the intended use of its cup. Check the product page and insert for who may use the device.
  • Cutoffs are detection thresholds. A cutoff level is not a measure of impairment.
  • Follow the product insert. Read times, sample volume and validity color charts come from the insert supplied with your device.
FAQ

Frequently Asked Questions

Are these drug test result forms free?

Yes. Every result form on this page is a free PDF download. There is no sign-up and no limit on how many copies you print.

Can I fill in the result form on my computer?

Yes. Each form is a fillable PDF. Open it in Adobe Acrobat Reader or most web browsers, type in the test details, tick a result for each panel, then save or print it. You can also print a blank form and fill it in by hand.

Why does each drug test cup have its own form?

Cups test for different drugs at different cutoff levels. Each form lists the exact panels, abbreviations and cutoffs of its cup, so the person reading the test records a result for every strip on that device and nothing else.

Can I use these forms for DOT drug testing?

No. DOT-regulated testing under 49 CFR Part 40 requires the Federal Custody and Control Form and laboratory testing. These forms are records for non-DOT rapid screening programs only.

What does a non-negative result mean on the form?

A non-negative result is a preliminary result. Mark it on the form, send the specimen for laboratory confirmation according to your program’s procedures, and record the laboratory name and the date sent in section 4.

Do 90 mL and 120 mL versions of the same panel need different forms?

Use the form listed for the exact cup you bought. Some 90 mL and 120 mL cups share panels but differ in cutoff levels or adulterant pads, so each product has its own form.