return-to-duty process facilitated by a FMCSA certified medical examiner.

Medical Review by Dr. Lemuel P. Byrd, Jr., D.C., FMCSA Certified DOT Medical Examiner
Charlotte DOT Exam Center | Published: January 2026 | 8415 Pineville-Matthews Road, Suite 102, Charlotte, NC 28226

📋 Key Takeaways

  • RTD process: SAP evaluation → treatment/education → SAP follow-up → return-to-duty test → minimum 6 follow-up tests over 12 months
  • Timeline: Typically 6-12 weeks minimum; varies based on SAP treatment recommendations
  • Employer obligation: Employers are NOT required to pay RTD costs or rehire the driver after completion
  • Cost at our facility: $70 for RTD DOT physical, $90 for RTD drug test (after SAP clearance)
  • Clearinghouse: RTD completion must be reported to FMCSA Drug & Alcohol Clearinghouse

What Is the Return-to-Duty Process?

The return-to-duty (RTD) process is the mandatory series of steps a commercial driver must complete before resuming safety-sensitive functions after a DOT drug or alcohol violation [1]. Under 49 CFR Part 40, drivers who test positive for drugs, refuse a test, or violate alcohol rules cannot return to driving until they complete evaluation by a Substance Abuse Professional (SAP), follow treatment recommendations, pass a return-to-duty test, and enter a follow-up testing program [2].

For Charlotte-area employers, understanding the RTD process is essential for compliance. Charlotte DOT Exam Center provides the return-to-duty DOT physical examination—a separate requirement from the SAP evaluation and drug testing that must also be completed.

Return-to-Duty Process Steps

Step Description Responsible Party
1. Immediate removal Driver removed from safety-sensitive duties Employer
2. SAP evaluation Assessment by Substance Abuse Professional Driver (employer may assist)
3. Treatment/education Complete SAP-recommended program Driver
4. Follow-up SAP evaluation SAP verifies compliance with recommendations Driver
5. Return-to-duty drug test Negative test result required Employer arranges
6. DOT physical (if expired or required) Medical certification renewed Charlotte DOT Exam Center
7. Return to safety-sensitive duties Driver may resume driving Employer authorizes
8. Follow-up testing program Minimum 6 directly observed tests in 12 months Employer arranges

Employer Responsibilities During RTD

Motor carriers have specific obligations when an employee enters the return-to-duty process [3]:

  • Immediate Removal — Remove driver from safety-sensitive functions upon notification of violation
  • Provide SAP Information — Give driver list of available Substance Abuse Professionals
  • Verify SAP Completion — Confirm driver completed evaluation and treatment
  • Arrange RTD Testing — Schedule return-to-duty drug and/or alcohol test
  • Verify Negative Result — Confirm negative RTD test before driver returns
  • Establish Follow-Up Schedule — Implement SAP-prescribed follow-up testing plan
  • Update Clearinghouse — Report completion of RTD process to FMCSA Clearinghouse [4]

DOT Physical Requirements for RTD Drivers

Drivers completing the return-to-duty process may also need a new DOT physical examination under certain circumstances:

  • Expired Medical Certificate — If the driver’s DOT card expired during the RTD process
  • Extended Absence — If the driver has been out of safety-sensitive duties for extended period
  • Medical Condition Changes — If substance abuse treatment involved medications that may affect certification
  • Employer Policy — Some carriers require new physicals after any violation

Charlotte DOT Exam Center provides DOT physical examinations for drivers completing the RTD process. Our examiners understand the sensitivity of these situations and provide professional, confidential service.

FMCSA Drug & Alcohol Clearinghouse

The FMCSA Clearinghouse tracks all drug and alcohol violations and return-to-duty completion [4]. Employers must:

  • Report violations within 3 business days
  • Query Clearinghouse before hiring any CDL driver
  • Report RTD completion when driver passes return-to-duty test
  • Drivers with “Prohibited” status cannot operate CMVs until cleared

Until the RTD process is complete and recorded in the Clearinghouse, the driver remains in “Prohibited” status and cannot perform safety-sensitive functions for any motor carrier.

Cost Considerations for Employers

The RTD process involves multiple expenses:

Service Typical Cost Range Who Typically Pays
Initial SAP Evaluation $300-$500 Driver or employer (varies by company policy)
Treatment/Education Program Varies widely Driver (insurance may cover)
Follow-up SAP Evaluation $200-$400 Driver or employer
Return-to-Duty Drug Test $90 Employer
DOT Physical (if needed) $70 Employer or driver
Follow-up Tests (6+ required) $90 each Employer

Frequently Asked Questions

Can we terminate a driver instead of going through RTD?

Yes. Employers are not required to retain drivers who violate drug and alcohol policies. However, the driver will still need to complete the RTD process before driving for any motor carrier in the future—it’s a DOT requirement, not just an employer requirement.

How long does the return-to-duty process take?

Timelines vary based on SAP recommendations. Simple cases may be resolved in 6-8 weeks. More complex situations involving treatment programs can take 3-6 months or longer. The driver cannot return to safety-sensitive duties until all steps are complete.

Can we rehire a driver who completed RTD elsewhere?

Yes, but you must query the FMCSA Clearinghouse first. If the driver shows “Not Prohibited” status and RTD completion is documented, they can be hired. You may still choose to require a new DOT physical as part of your hiring process.

Who selects the Substance Abuse Professional?

The driver selects from available SAPs. Employers must provide a list of SAPs but cannot mandate which one the driver uses. SAPs must be qualified under DOT requirements (licensed counselors, psychologists, physicians, etc. with required SAP training).

Schedule a Return-to-Duty DOT Physical

Charlotte DOT Exam Center
8415 Pineville-Matthews Road, Suite 102
Charlotte, NC 28226
Phone: 704-544-3494
Email: appt@tebbyclinic.com

References

  • [1] 49 CFR § 40.285 – Return-to-Duty Process. eCFR.gov
  • [2] 49 CFR Part 40 Subpart O – Substance Abuse Professionals and Return-to-Duty Process. eCFR.gov
  • [3] FMCSA. Return-to-Duty Requirements for Employers. FMCSA.dot.gov
  • [4] FMCSA Drug & Alcohol Clearinghouse. clearinghouse.fmcsa.dot.gov

Return to Duty Process Employer Charlotte Map