Quest Diagnostics

Drug Testing using eCCF

Electronic Custody and Control Forms 

Electronic Custody and Control Form (eCCF) Seal image

An electronic Custody and Control Form (eCCF) is the digital version of the traditional, five-part paper Custody and Control Form — the document used for drug test ordering, specimen collection processing, and chain of custody documentation for workplace drug testing. The CCF documents the external specimen chain of custody — i.e., the handling of the drug test specimen from the time it is collected until it is received at the laboratory.

For regulated, US Department of Transportation (DOT) testing programs, the federal drug testing custody and control form (eCCF) is also used to document final laboratory results reported to the Medical Review Officer (MRO). The Federal eCCF collects and transmits the same employer, donor, collector, MRO, and specimen information as the paper process using an online process rather than the 5-part paper form.
Quest Diagnostics has been providing eCCF (formerly known as eReq) to
non-regulated employers for nearly a decade. 

eCCF benefits

eCCF barcode
  • Fewer data-entry and legibility issues
  • Reduced collection site flaws
  • Faster drug test collections
  • Streamlined delivery of eCCF copies to employers and Medical Review Officers
  • Accurate data from the eCCF seamlessly replaces outdated account and MRO demographics
  • Less paperwork to manage
  • Improved overall efficiency

Key features of the eCCF process

eCCF drug testing process
  • eCCF is available for all DOT urine, non-DOT urine, Express Results™ Online, oral fluid, and hair drug tests from Quest Diagnostics
  • The Specimen ID is the unique identifier for the drug test specimen across all client account numbers and eCCF systems. It is consistently referenced throughout the drug testing process and on all associated records and forms
  • The Specimen ID is assigned at the collection site and corresponds to the label pods used to seal the specimen
  • Collection sites use barcode scanners to capture the Specimen ID
  • Signature pads capture collector and donor signatures electronically
  • eCCF images are clear, legible, and delivered more quickly to the appropriate parties such as MROs

Locating an eCCF-enabled collection site

woman with iPad
  • Quest Diagnostics Patient Services Centers that support drug testing collections are outfitted with barcode scanners and signature pads and are
    eCCF-enabled for regulated drug testing
  • Quest preferred and third-party locations in our extended network are quickly transitioning
  • Our online Collection Site Locator clearly identifies the collection sites that can provide eCCF

More about eCCF

The US Department of Transportation published a Final Rule on April 13, 2015 allowing employers, collectors, laboratories, and Medical Review Officers to use eCCFs for their regulated, Federal drug testing programs. eCCF is also referred to as electronic Chain of Custody or eCOC.

Employers can use federal eCCF only if their laboratory, collection sites, and electronic data interface processes have been approved by the US Department of Health and Human Services (HHS) National Laboratory Certification Program (NLCP). Quest Diagnostics was authorized by NLCP on August 5, 2016 to perform drug testing using eCCF for federally-mandated, safety-sensitive workers. We are the largest workplace drug testing provider certified to provide eCCF, which can enhance efficiencies and improve the quality of the drug testing process, including collection and transport, by significantly reducing paper-based documentation.
Watch our eCCF video.
Download our eCCF Frequently Asked Questions and brochure.