Employers participating in a comparable drug-free program must submit an annual report to document compliance with all program requirements. The DFSP-4 is that annual report. The report is due the last business day in March for the July program year.
While you're submitting the form online, you must also submit all required attachments. For assistance with completing the form, download an example.
You must answer all Yes/No questions. If you answer no, you must explain your answer. Once you submit the online form, you'll receive a confirmation page to print for your records. That page also will have a link to a cover sheet, which includes a checklist of required documents that prove compliance. To submit the cover sheet and your additional documentation, sign in to our website, and from the My Policy page, click Upload documents. Use the Document Type DFSP Supplemental documentation.
- Policy number, Federal tax ID or Social Security number
- Contact name and phone number
- May Drug-Free correspondence be sent to the e-mail address that you provide?
- Level for next program year
- Has your company had a state public improvement/construction job during this program year
- Total number of employees including supervisors who worked/supervised on a state project this program year
- Number of state construction employees including supervisors who were required to receive employee education this program year
- Number of state construction supervisors who were required to receive supervisor training this program year
- Written DFSP policy
- Employee education - Name of qualified substance professional(s) used, credentials and dates of service
- Supervisor training - Name of qualified substance professional(s) used, credentials and dates of service
- Range of substance testing - number of tests, number of positives by type of test and by specific drug
- Name of collection site, contact name/phone number, medical review officer, name of SAMHSA-certified lab
- Verification your company has ensured at least 5-percent random drug testing occurs for your state construction workers and supervisors while they are providing or supervising labor on a State of Ohio construction project
- Employee assistance resources