Registered C/TPA · Nationwide

Clear your PROHIBITED status with Step 5.

One thing gets a driver back on the road after a violation: a completed Return-to-Duty (Step 5) test. We handle it start to finish.

25,000+
Collection sites
24/7
Online ordering
100%
Audit-ready records
Commercial driver standing beside a semi truck
The priority

Return-to-Duty testing (Step 5)

Step 5 is the observed drug test that follows your SAP evaluation. Until it is completed and reported, a driver cannot legally perform safety-sensitive work.

One-time, all-inclusive per driver

  • RTD urine drug testincluded
  • Observed collection feeincluded
  • Clearinghouse reportingincluded
Start my Step 5 order
  1. 01

    Finish SAP steps 1–4

    Your Substance Abuse Professional completes the evaluation and education plan and issues the follow-up recommendation.

  2. 02

    Submit your Step 5 order

    Order online in a few minutes. We register the observed return-to-duty collection under a designated employer representative.

  3. 03

    Test at a nearby site

    Pick from thousands of collection sites nationwide, most with same-day or next-day availability.

  4. 04

    MRO review

    A certified Medical Review Officer verifies the lab result before anything is reported.

  5. 05

    Clearinghouse reporting

    A negative RTD result is reported for you, clearing the PROHIBITED flag so you can return to safety-sensitive duty.

  6. 06

    Then: follow-up testing (Step 6)

    Your SAP sets a schedule of unannounced tests after Step 5. We build the plan, track every due date, and report results.

    See Step 6 by state →

What drivers and employers say

“I needed a DOT return-to-duty drug test fast to get my CDL back to work. They set the observed collection up the next morning and the MRO result was reported before the week was out.”
Owner-operatorStep 5 RTD test
“My Clearinghouse status said PROHIBITED and I had no idea what Step 5 even was. They explained the process, acted as my C/TPA, and handled the reporting side of it.”
Company driverReturn-to-duty testing
“Straight answers, no surprise add-ons. The collection site was ten minutes from my route and the paperwork was already waiting when I walked in.”
Regional CDL driverObserved RTD collection

Straightforward services, no add-ons

Most urgent

Return-to-Duty (Step 5)

one-time, all-inclusive

  • · Observed collection
  • · MRO verified result
  • · Clearinghouse reporting
Get started
After Step 5

Follow-up (Step 6)

managed program per driver

  • · SAP plan setup
  • · Scheduling & tracking
  • · Reporting included
Get started

Pricing is confirmed in writing before anything is scheduled.

Questions drivers ask us most

What does Step 5 actually clear?+

A verified negative return-to-duty test removes the PROHIBITED status tied to a refusal or a positive result, so an employer can put the driver back into safety-sensitive work.

Does the Step 5 test have to be observed?+

Yes. Federal rules require direct observation for every return-to-duty collection, and that fee is already included — there are no add-ons.

How fast can I test?+

Most drivers test the same or next day. Once your order is in, we send the authorization and the nearest participating collection site.

Is Step 6 follow-up testing separate?+

Yes. After Step 5, your SAP's follow-up plan runs on its own schedule. We set the plan up and manage each unannounced test.

Get back to work this week

Order your Return-to-Duty Step 5 test — it takes a few minutes online.

Get started

Tell us what you need

Send your details and a compliance specialist replies with next steps, pricing, and the nearest collection site.

Requests go to info@bryahealth.com. Prefer to talk? Call 415-886-5598.