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: ______________________________________________________________
pjgriffith 4/10/2008 |
124 |
9 |
0 |
business
pjgriffith 4/10/2008 |
186 |
12 |
0 |
business
pjgriffith 4/10/2008 |
765 |
18 |
0 |
business
pjgriffith 4/10/2008 |
252 |
9 |
1 |
business
pjgriffith 4/10/2008 |
161 |
8 |
0 |
business
pjgriffith 4/10/2008 |
125 |
3 |
0 |
business
pjgriffith 4/10/2008 |
132 |
2 |
0 |
business
pjgriffith 4/10/2008 |
223 |
8 |
0 |
business
pjgriffith 4/10/2008 |
113 |
3 |
0 |
business
pjgriffith 4/10/2008 |
115 |
4 |
0 |
business
pjgriffith 4/10/2008 |
350 |
11 |
0 |
business
pjgriffith 4/10/2008 |
265 |
4 |
0 |
business
pjgriffith 4/10/2008 |
59 |
1 |
0 |
business
pjgriffith 4/10/2008 |
105 |
3 |
0 |
business
pjgriffith 4/10/2008 |
121 |
1 |
0 |
business
pjgriffith 4/13/2008 |
426 |
15 |
0 |
business
pjgriffith 4/13/2008 |
248 |
8 |
0 |
business
pjgriffith 4/13/2008 |
347 |
5 |
0 |
business
pjgriffith 4/13/2008 |
255 |
4 |
0 |
business
pjgriffith 4/13/2008 |
385 |
8 |
0 |
business
pjgriffith 4/13/2008 |
259 |
2 |
0 |
business
pjgriffith 4/13/2008 |
351 |
2 |
0 |
business
pjgriffith 4/13/2008 |
710 |
5 |
0 |
business
pjgriffith 4/13/2008 |
271 |
3 |
0 |
business
pjgriffith 4/13/2008 |
266 |
1 |
0 |
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