Drug Testing Consent Form[1]

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12/17/2007
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Drug Testing Consent Form I have applied for employment with [Your Business] in a position that requires me to operate an automobile or truck. As a condition for my application being considered, I understand and agree to undergo substance screening. I understand that if my test results are positive, I shall not be considered further by [Your Business] for a car or truck driver position. I hereby authorize any physician, laboratory, hospital or medical professional retained by [Your Business] for screening purposes to conduct such screening and to provide the results to [Your Business], and I release [Your Business] and any person affiliated with [Your Business] and any such institution or person conducting the screening, from liability therefor. Applicant's signature: _________________________________________________ Applicant's name: ____________________________________________________ Date: ______________________________________________________________

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