Drug and Alcohol Policy Standard for Contractors

APPENDIX C PART 2 DRUG AND ALCOHOL TESTING CONSENT AND AGREEMENT POST ACCIDENT/INCIDENT or REASONABLE CAUSE

DRUG AND ALCOHOL TESTING CONSENT AND AGREEMENT

I,__________________________________________ , hereby consent to and agree to undertake testing for Unauthorized and Unlawful Substances (drugs and alcohol) administered by the Testing Agent, ___________________________ . I understand the testing results will be communicated to designates of the Company’s Employee Health Services group on a need to know basis only. I understand I will be required to provide Government issued photo identification at the time of the test

Employee Signature

Date

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