This form is to be presented to employees who are required to consent to a drug test as part of hiring or any drug-free workplace program. Includes authorization to release the results to the employer.
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CONSENT TO DRUG TEST
I, __________________, understand that that ABC Business is a drug-free workplace and that a drug test is a condition of employment.
I agree that if I am offered and accept a position with the company, that I will be required to take a urine test to screen for the use of illegal drugs.
I acknowledge that I have been informed of the scope of the test, including which drugs are being screened for, as well as the sample collection procedure. I hereby consent to this test.
Furthermore, I am aware that these results will become part of my employment record and that positive results can affect whether I am hired. I hereby authorize the release of the test results to ABC Business.
Signature:___________________________ Date:___________
Witness:____________________________ Date:___________
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