Consent for Drug Test


Posted on May 4, 2012 by admin | in Background Check

 

CONSENT FOR DRUG /ALCOHOL TESTING


If you are offered and accept employment with____________________________, in

the interest of safety for all concerned, you will be required to take a urine test for drug and/or alcohol use. I, ______________________________, have been fully informed
of the reason for this urine test for drug and/or alcohol (I understand what I am being tested for) the procedure involved, and do hereby freely give my consent. In addition,
I understand that the results of this test will be forwarded to my potential employer and become part of my record.

 

If this test is positive, and for this reason I am not hired, I understand that I will be given the opportunity to explain the results of this test.

 

I hereby authorize these test results to be released to:

_________________________
Name
_________________________
Signature		 _________________________
Date
_________________________
Witness		 _________________________
Date

 

 

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