Please fill out the following form to submit a supply request to Midlands Testing Services, Inc.

Do not wait until the last minute to order your supplies, as it can take up to a week for you to receive them.

If you have any questions, please contact the call center at (402) 983-9590

Testing Supply Request Form

Instructions

Please select the items that you need to re-order below.

The supplies are listed by company. If you need an item for more than one company, please hold down the CTRL button (or command button on a Mac) when you click your choices.

Alcohol Testing Forms

Urine Chain of Custody Forms

Urine Collection Supplies

Shipping Supplies

Donor Information Handouts

Notes

Quantity On Hand, Quantity Requests, Urgency, etc.

0 + 1 = ?