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Workplace Oral Fluid Drug Testing (Unit Standards 32327 & 32328) Enrolment Form

Company Name

Your Name

Your Email Address

Your Phone Number

Email Address for Invoices

Purchase Order Number

Course date

Course date

Please open the below form, download it, fill out the fields, then upload it using the next step

Upload the form here

Who will be paying for this course?

Who will be paying for this course?
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B

Costs

This course costs $780 + GST per attendee, please confirm you accept this cost.
Costs
If you don't have the AS/NZS 4760:2019, this will need to be purchased here: https://www.standards.govt.nz/shop/asnzs-47602019
You will need to source equipment from Canterbury Health Laboratories. You need 3 x CHL laboratory oral fluid confirmation kits and 1 x CHL oral fluid chain-of-custody forms. Contact the Lab here to purchase these: https://www.chl.co.nz/contact-us/

Training Material

The training pack includes the following, please confirm you accept the cost below:
• 3 x STEALTH Cube oral fluid devices
• STEALTH Cube verification certificate
• STEALTH Cube instruction sheet
• 4 x DrugFree Sites chain of custody forms
• 2 x syringes
• 4 x pairs of disposable gloves
• 4 x spill sheets
• Return courier bag

Delivery Address

What address should we send the course material to? Physical addresses only, no PO boxes.

Comments

This course has a theoretical element: a level of reading, writing and the ability to comprehend English is required. If you have any concerns regarding this, require a reader/writer, or have a specific learning requirement, please contact Sober Check prior to the course to discuss options.
To support equity in the government's education strategy, please indicate if you fit any of the following groups (optional):
Untitled checkboxes field

Gender

Optional, for statistical purposes.
Gender
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B
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CANCELLATIONS, SUBSTITUTIONS OR NO SHOWS Modification to enrolment is accepted without penalty up to ten (10) working days prior to course commencement thereafter any alteration will be treated as follows: Late Substitution, Late Cancellation or No Show: Full Fee The invoice is to be paid by 20th Day of Month following invoice. Overdue account(s) may be charged interest of 2.5% per month that the account(s) is overdue.
By signing and/or submitting this form I hereby declare that I have engaged Sober Check for the work specified and agree with the Terms and Conditions.