Step-By-Step Instructions

for Custody & Control Form

 

 

Step 1

1. Already filled out
2. Already filled out
3. MPAP# only no names or SS numbers please
4. Check Random
5. Leave Blank
6. Already filled out

 

Step 2

1. Check the temperature
2. Check Single Specimen
3. Check Observed
4. List any medications taken in Remarks section

 

Step 3

1. Follow Directions on custody form

 

Step 4

1. Collector sign name & time of collection
2. Collector Print Name & Date of collection
   The collector signature, time & date of collection are very important.
3. Specimen released to USPS

 

Step 5

1. Page 2 to be filled out & signed by Donor
2. Send top copy to lab with specimen
3. Shred copy 2 unless Donor is using a collector that is different from the collector name typed in Step 1 section F, then forward it to the MPAP office at 1650 Avenue D, Suite 102, Billings, MT 59102.
4. Keep pink copy
5. Shred Copy 4
6. Give Yellow Copy to Donor