Search

FAA SAP Program

Your Path Back to Work

Payment plans start at $112 (with Klarna, Affirm, or Afterpay if approved)

Virtual services

Available by text / phone / email

Free access to translators

Let’s Help You Return to Safety-Sensitive Aviation Work

Failed or refused a Federal Aviation Administration (FAA) drug or alcohol test?

If you work as a pilot, flight attendant, aircraft mechanic, dispatcher, flight instructor, or in another FAA-regulated role, you must complete the DOT SAP return-to-duty process before going back to safety-sensitive work.

The process can feel confusing, but you don’t have to figure it out alone.

At American River Wellness, you’ll get clear guidance at every step, with same-day or next-day Telehealth evaluations and direct access to your SAP.

You can start the program from anywhere in the U.S. for a flat $450 base fee, and choose a flexible payment option within your budget.

SAP program for aircraft employees
How to get Started

1

Fill Out a Quick Form

Complete our short form to request an appointment that works for you. You can also call or text us at 916-282-0866.

2

Provide a Few Details

Provide us with the available information about your FAA/DOT violation along with your employer or Designated Employer Representative (DER) contact details.

3

Begin Your Evaluation

Meet virtually with your DOT-qualified SAP. Same-day or next-day appointments available.

Ready to Start Your FAA Return-to-Duty Process?

Call today for a FREE FAA SAP consultation.

How Much Does the FAA SAP Program Cost?

At American River Wellness, we offer transparent pricing with no hidden evaluation fees.
$ 450 Base Rate
  • Your initial SAP evaluation and comprehensive assessment
  • An individualized education and/or treatment recommendation
  • Monitoring of your progress through the SAP process
  • Your follow-up SAP evaluation
  • Preparation of the required return-to-duty documentation
  • Development of your SAP follow-up testing plan
  • Required SAP reports sent directly to your employer or DER
  • Continued consultation support after you complete the process

Why Choose American River Wellness?​

More than 4,000 DOT SAP evaluations completed since 2018

Same-day or next-day appointments available

Experience helping safety-sensitive employees navigate the DOT return-to-duty process

Transparent $450 base pricing

Nationwide service

Five years of consultation support after completion

Meets DOT requirements for online assessments

Direct communication with Graham Sargent, your SAP

Clear communication with you and your employer throughout the process

Multilingual support, including Spanish, Punjabi, Hindi, Russian, Uzbek, and Turkish

Meet Your SAP​

Graham Sargent

CEAP, CADC-III-ICADC, IS, SAP

At American River Wellness, you work directly with Graham Sargent.

Graham has more than 14 years of experience working with safety-sensitive employees, individuals affected by substance use, and people navigating regulated return-to-duty requirements.

He built American River Wellness around a simple idea: people going through the SAP process deserve direct answers and individual attention, not another confusing system to navigate.

Instead of routing your case through a large call center, Graham works directly with you throughout your SAP evaluation. He reviews your circumstances, develops your individualized recommendations, monitors your progress, and prepares the required reports for your employer.

With more than 4,000 DOT SAP evaluations completed since 2018, Graham understands both the clinical and regulatory sides of the return-to-duty process.

 

Graham

Our 6-Step DOT SAP Program Process ​

1

Schedule Your Evaluation

Contact American River Wellness by phone, text, or online to schedule your initial SAP evaluation. We offer same-day and next-day Telehealth appointments so you can start the process without unnecessary delays.

2

Complete Your SAP Evaluation

You’ll meet one-on-one with your SAP to discuss your drug or alcohol violation, substance use history, and any other factors related to your situation. Your SAP will use this information to determine what you need to complete before moving forward.

3

Complete Your Education or Treatment Plan

Your SAP will create a plan based on your individual evaluation. This may include drug or alcohol education, counseling, outpatient treatment, support groups, or other appropriate services. We’ll explain each requirement clearly and stay in contact with you as you complete your plan.

4

Attend Your Follow-Up Evaluation

After you complete the recommended education or treatment, you’ll meet with your SAP again. Your SAP will review your progress and confirm whether you have successfully followed the recommendations and can move on to the return-to-duty stage.

5

Complete the Return-to-Duty Process

Once you meet the SAP requirements, we’ll send the required report to your employer or Designated Employer Representative (DER). Your employer can then arrange your return-to-duty test. You must receive a negative drug test result for a drug violation and/or an alcohol test result below 0.02 for an alcohol violation before returning to FAA-regulated safety-sensitive duties. Your SAP can require both tests.

6

Follow Your Testing Plan

After you return to safety-sensitive work, your employer will carry out the follow-up testing plan set by your SAP. Federal rules require at least six unannounced follow-up tests during your first 12 months back at work, and your SAP may require testing for up to five years. Throughout the process, we remain available by phone, text, or email if you need guidance.

FAA Drug and Alcohol Rules You Should Know

If you work in aviation, the rules that apply to you can depend on your job, your employer, and the type of work you do.

Not every aviation employee is subject to FAA drug and alcohol testing. That’s why it’s important to understand whether your role is considered safety-sensitive and what requirements apply before you return to work.

FAA testing requirements apply to employees who perform designated safety-sensitive functions for covered aviation employers.

Those functions include:

  • Flight crewmember duties
  • Flight attendant duties
  • Flight instruction duties
  • Aircraft dispatcher duties
  • Aircraft maintenance and preventive maintenance
  • Ground security coordinator duties
  • Aviation screening duties
  • Air traffic control duties
  • Operations control specialist duties

FAA drug and alcohol testing rules apply based on the safety-sensitive duties you perform.

For example, pilots who only fly under 14 CFR Part 91, which covers general aviation and private flying, are usually not subject to the FAA drug and alcohol testing rules in 14 CFR Part 120.

However, if you conduct commercial air tours under 14 CFR § 91.147, Part 120 does apply, and you must follow the FAA’s drug and alcohol testing requirements for safety-sensitive employees.

You may still need to follow FAA drug and alcohol testing rules, whether you work full-time, part-time, temporarily, on an intermittent schedule, or as a contractor, as long as you perform covered safety-sensitive duties.

Under 14 CFR Part 120, the FAA considers several drug and alcohol-related situations to be violations. These can include:

  • A verified positive DOT drug test
  • An alcohol concentration of 0.04 or greater
  • Refusing a required drug or alcohol test
  • Using alcohol while performing safety-sensitive duties
  • Using alcohol during the prohibited period before duty
  • Using alcohol within eight hours after an accident when FAA rules prohibit it, except when the employee has been given a post-accident test or the employer has determined the employee’s performance could not have contributed to the accident

For drug-related violations, 14 CFR § 120.33 prohibits you from performing covered safety-sensitive duties if you have a prohibited drug in your system, receive a verified positive drug test, or refuse a required drug test before completing the required return-to-duty steps.

For most covered aviation employees, 14 CFR § 120.37 sets the rules related to alcohol use. You cannot report for or remain on safety-sensitive duty with an alcohol concentration of 0.04 or higher, use alcohol while on duty, or refuse a required alcohol test. Pilots and flight attendants cannot perform covered duties within eight hours of drinking, while most other covered employees have a four-hour restriction. The same section also restricts alcohol use for eight hours after certain accidents, except when you’ve been given a post-accident alcohol test or your employer has determined that your actions could not have contributed to the accident.

If you work in covered air traffic control duties, similar alcohol restrictions apply under 14 CFR § 120.19, including the eight-hour pre-duty restriction.

If you commit one of these violations, your employer must remove you from safety-sensitive work. 14 CFR § 120.221(e) requires employees who engage in prohibited alcohol-related conduct to meet the DOT return-to-duty requirements in 49 CFR Part 40 before returning to covered duties.

The FAA can also suspend or revoke your certificate following a violation for Part 61 certificate holders.

Under 49 CFR § 40.285, once you commit a DOT drug or alcohol violation, you cannot perform DOT-regulated safety-sensitive duties for any employer until you successfully complete the required SAP evaluation, all recommended education and/or treatment, and return-to-duty process.

Your employer must immediately remove you from safety-sensitive duties.

Completing the SAP process does not guarantee that your employer will rehire or reinstate you. Once you meet the federal return-to-duty requirements, the final employment decision remains with the employer.

Under 14 CFR § 120.109 and 14 CFR § 120.217, FAA-covered safety-sensitive employees may be subject to several types of federal drug and alcohol testing, including:

  • Pre-employment drug testing
  • Random drug and alcohol testing
  • Post-accident testing
  • Reasonable cause or reasonable suspicion testing
  • Return-to-duty testing
  • Follow-up testing

Before you start a safety-sensitive aviation job, you must pass a DOT drug test. The FAA does not require an alcohol test before employment, but your employer can choose to give you one as long as they follow federal testing rules.

Under 14 CFR § 120.109(b) for drug testing and 14 CFR § 120.217(c) for alcohol testing, the FAA sets minimum annual random testing rates for covered safety-sensitive aviation employees.

For calendar year 2026, the FAA kept those minimum rates at:

  • 25% for random drug testing
  • 10% for random alcohol testing

These percentages apply to the employer’s pool of covered safety-sensitive employees. They do not mean that you personally will be tested a certain number of times. Each covered employee must have an equal chance of selection whenever the employer makes a random draw.

FAA-regulated employees do not use the FMCSA Drug and Alcohol Clearinghouse unless they are separately subject to FMCSA testing requirements as CDL drivers.

Instead, the FAA has its own reporting rules based on the type of certificate you hold.

An employer or Medical Review Officer (MRO) generally must report certain violations to the FAA within two working days.

These include:

  • Verified positive drug tests and drug test refusals involving people who hold, or are required to hold, a Part 67 medical certificate
  • Alcohol misuse violations involving people who hold a Part 67 medical certificate
  • Drug or alcohol test refusals involving people who hold airman certificates under Part 61, Part 63, or Part 65

These reporting requirements are covered under 14 CFR § 120.111(d), 14 CFR § 120.113(d), and 14 CFR § 120.221(c)–(d). The FAA also provides a full overview of its drug and alcohol reporting requirements.

If you work as a pilot, your employer must also enter applicable drug or alcohol violations into the FAA’s Pilot Records Database (PRD) in accordance with 14 CFR § 111.220.

For an employee whose duties require an FAA medical certificate, completing the SAP return-to-duty process may not be the only requirement.

If you hold a medical certificate under 14 CFR Part 67 and want to return to duties that require that certificate, you must also meet any requirements set by your Aviation Medical Examiner (AME) or Regional Flight Surgeon.

For Part 67 medical certificate holders who violate the drug rules, 14 CFR 120.113(d)(2) and (d)(4) apply. The SAP must ask you if you hold a Part 67 certificate.

If you do or would be required to obtain one for the work you perform, you must get a new certificate after the date of your positive drug test before the SAP can recommend your return to a safety-sensitive job.

Part 67 medical certificate holders who violate the alcohol rules fall under 14 CFR 120.221(c).

As a Part 67 medical certificate holder, your employer can’t return you to duty until the Federal Air Surgeon has recommended it and you meet Part 40 return-to-duty requirements.

You must also obtain an airman medical certificate issued by the Federal Air Surgeon and dated after the date of your violation.

Your FAA medical certification process is separate from the SAP return-to-duty requirements under 49 CFR Part 40, Subpart O. If your job requires an FAA medical certificate, you may need to complete both processes before you can return to those duties.

Under 14 CFR § 120.111(e)(1)-(2), using a prohibited drug while performing a safety-sensitive function will permanently disqualify you from performing that function. You will also be permanently disqualified when you have two verified positive drug tests that occurred after Sept. 19, 1994.

For alcohol violations, 14 CFR § 120.221(b) states that on-duty use of alcohol while performing a safety-sensitive function under 14 CFR § 120.19(c) or § 120.37 will permanently disqualify you from performing the duties you held before the violation.

If you had a previous alcohol violation under § 120.19 or § 120.37 (other than on-duty use, which is permanently disqualifying upon a first violation), a second violation will permanently disqualify you.

The FAA also explains these consequences in its guidance for safety-sensitive employees.

Because permanent disqualification depends on the type and history of the violation, review the FAA rules that apply to your situation and seek professional or legal guidance when necessary.

.

State marijuana laws do not change federal FAA/DOT drug testing requirements.

Even if recreational or medical marijuana use is legal in your state, a positive result for marijuana on your DOT/FAA test will not change to a negative result simply because your use was allowed under state law.

Following President Donald Trump’s Executive Order, the US Department of Justice moved FDA-approved marijuana products and state-approved marijuana products subject to a medical marijuana license from Schedule I to Schedule III under the Controlled Substances Act (CSA), as it announced on April 23, 2026.

However, the DOJ and the DEA actions to reclassify marijuana under the CSA have no effect on how the US Department of Transportation treats it under 49 CFR Part 40.

The DOT has answered the question about whether the reclassification of certain marijuana products has changed its drug and alcohol testing rules and said it hasn’t.

According to the DOT, state-licensed marijuana products are not FDA-approved drugs. As such, an MRO can’t find that a laboratory-confirmed marijuana positive drug test is negative based on an employee’s assertion that the result occurred because of their use of a state-licensed medical marijuana product.

Since state-licensed medical marijuana can’t be prescribed as an FDA-approved drug, it doesn’t meet Part 40’s requirement for a legitimate medical explanation.

Under 14 CFR § 120.33, you cannot perform a covered safety-sensitive function while a prohibited drug, including marijuana or its metabolites, is in your system.

Even if you use marijuana legally under your state’s medical marijuana program, the DOT still treats a positive test as a violation under 49 CFR § 40.137.

FAA Substance Abuse Professional

Ready to Get Started?

A failed or refused FAA test does not have to mean the end of your career.

Working with a qualified SAP gives you a clear understanding of what you need to do before you can return to safety-sensitive work.

At American River Wellness, you can start with a Telehealth FAA SAP evaluation as soon as the same or the next day.

Call or text 916-282-0866 today to begin your FAA return-to-duty process.

FAQs

An FAA SAP evaluation is the first step in the DOT return-to-duty process for an FAA-regulated safety-sensitive employee who has violated federal drug or alcohol testing rules.

A DOT-qualified Substance Abuse Professional evaluates the employee and determines what education and/or treatment is necessary.

The SAP then:

  • Conducts the initial clinical assessment
  • Makes individualized education or treatment recommendations
  • Monitors completion of those recommendations
  • Conducts a follow-up evaluation
  • Reports successful or unsuccessful compliance to the employer
  • Creates the required follow-up testing plan

You cannot resume DOT-regulated safety-sensitive work until you complete the required process and meet the return-to-duty testing requirements.

You generally need the SAP return-to-duty process when you perform an FAA-regulated safety-sensitive function and commit a DOT drug or alcohol violation.

FAA-covered functions can include:

  • Pilots performing covered flight crewmember duties
  • Flight attendants
  • Flight instructors
  • Aircraft dispatchers
  • Aircraft maintenance personnel
  • Ground security coordinators
  • Aviation screeners
  • Covered air traffic controllers
  • Operations control specialists

Coverage depends on your actual duties and employer, not simply your job title.

You must immediately stop performing DOT-regulated safety-sensitive functions.

Before you can return to your job, you must complete the SAP evaluation and recommendations, receive a successful follow-up SAP evaluation, and obtain the required negative return-to-duty drug test result.

Depending on the certificate you hold, your employer or Medical Review Officer (MRO) may also need to report the violation to the FAA.

A refusal is considered a federal drug or alcohol testing violation.

You will be removed from safety-sensitive duties and must complete the SAP return-to-duty process before becoming eligible to perform those duties again.

If you hold a Part 61, 63, or 65 FAA certificate and refuse a required drug or alcohol test, your employer must report that refusal to the FAA.

No. The FMCSA Drug and Alcohol Clearinghouse is a system for CDL and commercial motor vehicle drivers subject to FMCSA rules.

FAA-regulated aviation employees are governed by FAA reporting and recordkeeping requirements instead. Certain violations involving airmen or medical certificate holders are reported directly to the FAA, and pilot violations may also be recorded in the Pilot Records Database.

No. The employer return-to-duty process and FAA medical certification process are separate.

If you need a Part 67 medical certificate to perform your duties, the FAA may require additional steps through your Aviation Medical Examiner, Regional Flight Surgeon, or Federal Air Surgeon before you can exercise the privileges requiring that certificate.

Yes, federal DOT regulations permit a SAP to conduct an evaluation remotely when the applicable requirements are met.

The appointment must provide real-time audio and visual communication, sufficient quality for a proper clinical evaluation, and appropriate confidentiality and security.

The SAP must also be licensed or otherwise authorized to provide services in the state where you are located.

Generally, no. Your employer is required to provide you with information about qualified SAPs, but federal regulations do not require the employer to pay for your SAP evaluation, education, or treatment. Payment depends on employer policy, collective bargaining agreements, insurance, or employee assistance benefits.

There’s no set timeline for the FAA SAP process because everyone’s situation is different. After your first evaluation, your SAP will tell you what steps you need to complete, such as education, counseling, or treatment.

At American River Wellness, you can usually get your first appointment the same day or the next day, so you can start the process quickly. How long it takes from there depends on the requirements in your individual plan.

Federal regulations require a minimum of six unannounced follow-up tests during the first 12 months of safety-sensitive duty.

Your SAP may require additional testing for a period of up to 5 years.

Your SAP decides how often you need to be tested and how long the follow-up period will last, while your employer chooses the specific testing dates.

Yes. Even if marijuana is legal in your state, you still have to follow federal DOT and FAA drug testing rules. If you test positive for marijuana on a DOT test, the FAA will still treat it as a positive result.

Free DOT-SAP Consultation

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Name*
Consent