Auto Drug Testing Auto Drug Testing Request Step 1 of 4 25% If you are calling on behalf of your own vehicle and not an insurance company or body shop please call us at 612-643-0911 to setup a test. This form is only for companies ordering a test. Our drug testing service is typically done remotely at the site of the vehicle for vehicles located in Hennepin, Washington, Anoka and Ramsey counties. Scott, Dakota, Wright, Sherburne, and Isanti counties may incur an additional fee depending on the location within the county. Call for more information. Unless you have a master testing agreement with our company a signature is required along with payment for the test at the time of testing. The fee for a standard Methamphetamine/Fentanyl test is $675.00 plus tax and a 3.5% credit card fee, if applicable. Additional drugs can be added to the test for an additional fee, see the form below. Tests are sent to our independent lab in Utah and have a turn around time of 7-8 business days. If you need expedited results this can be done for an additional cost, please indicate that you would like expedited results and we will let you know the cost before we send out the test to the lab. All results are emailed to the client upon receipt from the lab. The vehicle must be located at the address provided on the form or Scene Clean will charge a trip charge. Please verify the vehicles location prior to completing this order request. Todays Date(Required)Todays Date MM slash DD slash YYYY Company Requesting Service(Required)Who's Requesting Service?Select OneOtherCoPart-Ham Lake (Main Lot)CoPart-Ham Lake (Sub Lot)ADESACaliber CollisionIAAProgressiveState FarmLiberty MutualFarmersAllStateLupient Collision-Brooklyn ParkManheim-ShakopeeManheim-Maple GroveCar OwnerOther ExplainedName of Requestor Name(Required)Your name, not business name. First Last Phone(Required)Your Phone Email(Required)Your Email Testing Address(Required)Testing Location Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Private Residence?(Required)Is the testing point of contact different than the above? Yes No Testing Contact Name and Phone numberBest POC name and number ID Number(Required)Lot ID or PO Number Test(s)(Required)Desired Tests Select All Standard Meth and Fentanyl $675 Add Heroine +$65 Add Cocaine +$65 Add Ecstasy +$65 VIN(Required)Last 6 of the VIN number. Claim NumberClaim number if billed to insurance. Year(Required)Model Year Make(Required)Make Model(Required)Model Color(Required)Color NotesAnything we need to know? What do you see inside the car? Stolen Recovery? UploadIf you have any pictures or document(s) you want to provide, upload here. Drop files here or Select files Accepted file types: pdf, jpg, gif, png, doc, Max. file size: 20 MB. Results Timeline(Required)I understand that the results will be emailed to me 8-9 business days from the day of testing, holidays will affect this timeline. I understand the results timeline.Vehicle At Address(Required)The vehicle is located at the address on this form. If you are unsure do not submit this form. By acknowledging you are confirming the vehicle is at the location you have provided you understand and agree that Scene Clean will be paid a trip charge on top of the testing charge if the vehicle is not at the address when Scene Clean goes to test the vehicle. The vehicle is located at the address I have indicated.CAPTCHA