Kansas Department Of Health And Environment

Breath Alcohol Laboratory Program

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CDL-5 Form for Commercial Motor Vehicles

- This form must be used to certify a refusal or test result of .04 or greater when a commercial vehicle is involved.

 

- If the person refuses a test or has a test result of .08 or greater, Form DC-27 must ALSO be completed.

 

- If the person has a concentration of 0.04 to.079, inclusive, they will lose only their CDL, whereas, if they refuse or have a concentration of .08 or greater they will lose all of their licenses.