Employee Drug Test Consent Form
This document serves as a consent form for conducting drug tests for employees at [Company Name]. This procedure is in compliance with the applicable laws of [State], ensuring that employee rights and workplace safety are upheld. By signing below, you agree to the terms informed by state regulations regarding employee drug testing.
Please fill in the following information:
- Name: ___________________
- Job Title: ________________
- Department: ______________
- Date: _________________
Consent Agreement:
I hereby consent to undergo a drug test as required by [Company Name]. I understand that the purpose of this test is to promote a safe and healthy work environment and comply with state law. I acknowledge that:
- The test may include various substances, including but not limited to illegal drugs, prescription medications, and alcohol.
- The test results will be kept confidential and shared only with authorized personnel.
- If positive results are returned, I may be subject to further evaluation and disciplinary action as per [Company Name]'s policy.
- I understand that refusal to comply with testing may result in consequences outlined in the employee handbook.
By signing this document, I confirm that I have read and understood the above agreement and consent to the drug test.
Employee Signature: __________________________
Supervisor/HR Representative Signature: __________________________