top of page

This Post Accident request form is only for the Chicago, IL area.

 

Post Accident Hours: 24 / 7 / 365

Business Hours: 9 AM to 7 PM


Pricing after 7 PM will differ from pricing during business hours.

 

After you submit this form, you will receive an invoice detailing the services you requested.

 

The invoice must be paid before we come out. Our collectors do not accept cash.


If you are looking for mobile testing - Click Here

Your Information

Your Position
Are you the DER?

Company Information

Are you DOT mandated?

Employee or Contractor Information

Our mobile collector will use this number to communicate with this person.

Vehicle Information

Does this accident involve a vehicle?

Location Information

Is the employee or contractor on the expressway?

Requested Tests

What test do you want performed?

Select all that apply

bottom of page