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.
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- Online ordering
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- Audit-ready records

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
- 01
Finish SAP steps 1–4
Your Substance Abuse Professional completes the evaluation and education plan and issues the follow-up recommendation.
- 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.
- 03
Test at a nearby site
Pick from thousands of collection sites nationwide, most with same-day or next-day availability.
- 04
MRO review
A certified Medical Review Officer verifies the lab result before anything is reported.
- 05
Clearinghouse reporting
A negative RTD result is reported for you, clearing the PROHIBITED flag so you can return to safety-sensitive duty.
- 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.”
“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.”
“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.”
Straightforward services, no add-ons
Return-to-Duty (Step 5)
one-time, all-inclusive
- · Observed collection
- · MRO verified result
- · Clearinghouse reporting
Follow-up (Step 6)
managed program per driver
- · SAP plan setup
- · Scheduling & tracking
- · Reporting included
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.
Tell us what you need
Send your details and a compliance specialist replies with next steps, pricing, and the nearest collection site.
Email: info@bryahealth.com
Phone: 415-886-5598