February 19, 2026

If you’ve tested positive on a DOT drug or alcohol test, you’re required to complete a Substance Abuse Professional (SAP) evaluation and follow their recommendations before you can return to safety-sensitive work.
But what happens if you start the process and then… stop?
Maybe you’re frustrated. Maybe you’re unsure about the next steps. Maybe you’re thinking, “I’ll deal with this later.”
Here’s the truth: dropping out of the SAP process has serious consequences.
If you ghost your SAP—even early in the process—they’re required to notify your employer. That means:
Even if you haven’t had your first assessment yet, the SAP can still send that letter. They’ll simply leave the assessment date blank and document that you didn’t follow through.
Some people think that certain DOT modes—like Federal Motor Carrier Safety Administration (FMCSA)—might be more flexible. They’re not. The rules still apply. If you’re in a safety-sensitive role, you must complete the SAP process to return to duty.
SAPs are encouraged to:
This isn’t personal. It’s regulatory. And it’s designed to protect public safety and ensure accountability.
If you’re feeling overwhelmed or unsure:
Skipping the SAP process doesn’t make the problem go away. It just makes it harder to move forward. If you’ve started, stay with it. If you’ve dropped out, reach back out. Your SAP is there to help but they can’t do that if you disappear.
Would you like help turning this into a re-engagement email template or a handout for new clients? I’d be glad to help you build that next.


