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| Form Number: |
8060-12
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| Form Title: |
AUTHORIZATION FOR RELEASE OF DOT DRUG AND ALCOHOL TESTING RECORDS UNDER PRIA AND MAINTAINED UNDER TITLE 49 CODE OF FEDERAL REGULATIONS (49 CFR) PART 40
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| Edition Date: |
8-04 |
| Program Office: |
Flight Standards Aviation Data Systems Branch, AFS-620 |
| Download Form: |
8060-12 (293.4 KB)
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Submission Instructions: |
This form should be completed by the hiring Air Carrier in order to provide the necessary release for the appropriate records maintained by any previous employer. This form must be signed and dated by the applicant/employee and attached to all 8060-11 and 8060-11A forms being sent to previous employers. Please see the accompanying instructions attached to the form itself for details.
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| Email Address: |
9-AMC-AFS620-Customer-Comments@faa.gov
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| Fax Number: |
405-954-4655
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| Mailing
Address: |
Federal Aviation Administration
Attn: Aviation Data Systems Branch, AFS-620, ATTN: PRIA
P.O. Box 25082
Oklahoma City, OK 73125-0082
For Expedited Mail Services:
Federal Aviation Administration
Attn: Aviation Data Systems Branch, AFS-620, ATTN: PRIA
6500 S. MacArthur Blvd., ARB Room 313
Oklahoma City, OK 73169
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| Special Instructions: |
A copy of the completed form should be provided to the applicant. If there are any questions, please call AFS-620 at 405-954-0990, or write to the address(s) as indicated above.
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