Skip to content

Facebook Twitter Instagram Pinterest

83334596687 (WOOTS)|service@woots.ca

Search for:

Home
About Us
Our Services
Collection Sites
Make Payment
Contact Us
Resources
Member Login

Search for:

Service Request

Home/pa 2

pa 2aman@woots.ca2024-10-29T02:04:49+00:00

Click Here To Enroll Now

Enroll Now

Service Request

.please note if you don’t get reasonable reply in 15 -30 minutes please call +1 6479298789

only authorized personnel can request for the service other wise payment must be made prior to the service

Employer / Company Info.

COMPANY NAME *

Contact Name *

First

Last

Phone with extension no. *

Email *

Driver/ Employee details

Driver/Employee Name *

First

Last

Location of the Driver/Employee *

Address Line 1

City

State / Province / Region

Smart Phone Number of Driver/Employee

Date of Test/ Time of accident/incident *

Date

Time

Reason for the test *

Post accident
pre-employment
random
resonable /cause

Type of test *

Drugs only
Alcohol only
Both Drug and alcohol

Mandate *

DOT
NON- DOT

Panel

5 panel dot urine
5 panel Non dot
SWAB/Silva

Service Type

On site or In a clinic
Mobile Collection

Message

Signature *

Upload proof of payment if applicable

Click or drag a file to this area to upload.

Contact Info

service@woots.ca
83334596687 (WOOTS)
www.@woots.ca

Quick Links

Home
About Us
Our Services
Make Payment
Contact us

Address

7003 Steeles Ave W,
Etobicoke, ON M9W 0A2

H.O. 2 Robert Speck Parkway, Suite 750, Mississauga ON L4Z 1H8

Site coming up in North east Brampton

Facebook Twitter Instagram Pinterest

Go to Top