Pre-Employment Drug and/or
Alcohol Testing Consent
This Pre-Employment Drug and/or Alcohol Testing Consent Form may be
ocstoc Legal Agreements
used by a Company to have a Drug and/or Alcohol test upon a new candidate
before getting them employed.
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PRE-EMPLOYMENT DRUG AND/OR ALCOHOL TESTING CONSENT FORM
PRE-EMPLOYMENT DRUG AND/OR ALCOHOL TESTING POLICY
As a condition for an employment application to be considered, applicants must understand and
agree to submit to a drug and/or alcohol test. If the test results are positive, the applicant shall not
be considered further by _____________________ [Instruction: Insert the name of company]
(hereinafter referred to as the “Company”) for employment.
The Company will pay the cost of the pre-employment drug/alcohol test. Any additional
treatment or cost relating to the results of the testing is the applicant’s responsibility.
The Company will maintain the results of the pre-employment drug/alcohol test.
I, ___________________________________ [Instruction: Insert the name of the Applicant],
understand the above conditions and hereby agree to comply with them (I understand what I am
being tested for), the procedure involved, and do hereby freely and voluntarily give my consent
to the testing laboratory designated by the Company to perform analytical tests deemed
necessary to determine the absence or the presence of alcohol and/or drugs [Instruction: Check
(X) for all that apply) in my ___ urine, ___ blood, _____ hair, or ___ breath as specified by
statute and regulation of the Company. In addition, I understand that the results of this test will
become part of my record.
I understand that:
1. The authority may request proof that I am taking a controlled substance as directed pursuant
to a lawful prescription issued in my name. If requested, I must provide such proof within 48
2. I have the right to request a re-test of the initial specimen at a licensed laboratory of my
choice if I have a positive test for drugs. All requests for a re-test of the sample must be
made within ten (10) working days of the receipt of the origina