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Attachment A —General Trades: <br />BCRC LETTER HEAD <br />Letter of Notice for RandomiTesting <br />You have been selected by BCRCs 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 selected up to twice in a twelve month period. <br />In order to stay in compliance with BCRC and possess a clear (CL) BCRC card <br />status you will be required to report to an approved collection site within seven (7) <br />days from the date on this "Notice of Random Testing"letter (the date on this letter <br />is included in the sewn days). Please verify that the BCRC card number in the <br />upper right hand coma of this notice matches your BCRC card number. If it does <br />not match your BCRC card number, please notify our office immediately! <br />This random test is to be taken on your own time at any, of the BCRC approved <br />collection sites identified on the enclosed collection site lisL You will be meshed a <br />$30.00 stipend for the time necessary to secure random testing only ifyour test is <br />taken within the allotted seven (7) days of this notice. NO EXCEPTIONS! Failure <br />to take your tat by the date outlined above will result in your BCRC and status <br />be'urg deemed "Not Available" (N/A) and will uue that yrou contact the BCRC <br />office for instructions on the required procedure(s for correcting the "N/Al status. <br />In the event you arc taking prescribed mediation(s),DO NOT take them to the <br />collection site. You will be contacted by our Medical Review Office (MRO),who <br />will need your prescription information for the verification process. Please provide a <br />legible and accurate telephone number on all forms at the collection site. <br />Remember, it is your responsibility to keep your contact information current with <br />BCRC. You an do so through the "Members Utilities secure pored on the BCRC <br />wcbsire at www.baenetcom or by calling the BCRC office at the numbers listed <br />below. <br />Questions, contact the BCRC office 0 219-764-9500 or toll five @ 877-988-5400. <br />Thankyou for your cooperation. <br />Sincerely, <br />Tish Roach <br />Executive Director <br />As a member of BCRC, you and your farnily have access to Perspectives, a fully <br />independcn, professional Em�ployec Assisemcc Program (EAP). Perspectives <br />twrnry four (24) hoes , seven (7) days a wcrk hotline number is (800) 456-6327. <br />All calls to Perspectives are confidential. <br />44 <br />