Alcohol & Drugs Policy Violation Referral Form

As of May 1st, 2015, the Boilermaker Contractors' Association of Alberta has assumed the alcohol & drug referral process for Boilermakers, please refer to their website to submit a referral for a Boilermaker.

For union locals 254 and 424, please use ECAA's A&D Policy Violation Referral Form instead.

For assistance please contact Lynne Harder or Joe McFadyen at CLR 800-450-7204, or Shelley Gallant at Homewood Health - TPCM 780-493-0726. You may also fill out the ADP Contact Form.

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Referring Organization Contact Information



Project/Dispatch Information
















Please attach copy of the Dispatch Slip & A&D Test Results if applicable & available

You may upload a maximum of two PDF documents, for multi-documents submissions please combine your documents into a single file before uploading.


Personal contact information of worker being referred

Do you have a personal phone and address? Yes

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Contractor/Union: additional comments relevant to the case management of this file:


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