Pre-Employment Consent For Drug and Alcohol Testing

Drug Free Workplace Program Pre-Employment Consent Form

(YOUR COMPANY LETTERHEAD)

I hereby consent to submit to the testing for drugs and/or alcohol as shall be determined by

(Your Company Name) in the selection process of applicants for employment, for the

purpose of determining the drug and/or alcohol content thereof.

I agree that Drug Test Today may collect these specimens for these tests and may test them, if qualified, or forward them

to a licensed or certified laboratory designated by the company for analysis. I further agree to and

hereby authorize the release of said test results to the company.

I understand that my current use of illegal drugs may prohibit me from being employed at this

Company.

I further agree that a reproduced copy of this pre-employment consent and release form shall

have the same force and effect as the original.

I have carefully read the foregoing and fully understand its contents. I acknowledge that my

signing of this consent and release form is a voluntary act on my part and that I have not been

coerced into signing this document by anyone.

Applicant:

Print Name:_____________________________ SS#:__________________

Applicant Signature:_________________________ Date:________________
Witness Print

Name:________________________________________________________

Witness

Signature:______________________________ Date:___________________

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