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Attachment A— General Trades: <br />BCRC LETI'ER HEAD <br />Letter of Notice for RandomTesting <br />FMI <br />You have been selected by BCRC's computer generated random selection to take <br />a random drug test for BCRC. You must be tested no later than midnight (day) of <br />(Month), 20 .Our computer program selects the names of BCRC cardholders for <br />a random each month. You can be sdcctcd up to tMce in a twelve month period. <br />In order ro stay in compliance with BCRC and possess a dear (CL) BCRC card <br />status you will be required to report to an approvtd collection site within scorn (7) <br />days from the date on this "Notice of Random Testing"letter (the dart on this letter <br />is included in the seven days). Pkase �2rify that the BCRC cod number in the <br />upper right hand comer of this notice matcha your BCRC card number. If it does <br />not match }our BCRC card numbe ,please nottfyo. office immediately! <br />'Ihis random testis to betaken on your ovvn time at any of the BCRC approved <br />collection sites identified on the enclosed collection site list You will be mailed a <br />$30.00 stipend for the time necessary to scout random testing only ifyour test is <br />taken within the allotted seven (7) days of this notice. NO EXCEPTIONS! Failure <br />to take your tar by the date outlined above will result in your BCRC card status <br />being deemed "Not Available" (N/A) and willr�qu�rrc that you contact the BCRC <br />office for instructions on the required procedures) for cotrecdn the"N/A status. <br />In the event you are taking prescribed medication(s), DO NO1 take them to the <br />collection site. You will be contacted by our Medical Review Office (MRO), who <br />till need }ourprescription information for the verification process. Please provide a <br />legible and accurate tdcphoac number on all forms at the collection site. <br />Remember, it is your responsibility to keep your contact information current with <br />BCRC. You can do so through the "Members Utilities" sea= portal on the BCRC <br />wcbsitc at www.bacnctcom or by calling the BCRC office at the numbers listed <br />below. <br />Questions, contact the BCRC office 0 219-764-9500 or toll fiee 0 877-988-5400. <br />'Ihankyou for}ourcooperadom <br />Sincerely, <br />Tish Roach <br />Executive Director <br />As a member of BCRC, you and your family have access to Perspectives, a fully <br />indcprndcn, professional Em loycc Assistance Program (EAP). Pcrspcctivts <br />twcn -four (24) hour, seven (%) days a week hotline number is (800) 456-6327. <br />All calls to Perspectives are confidential <br />44 <br />