H���[O�0��+�?�G[Z�K���: ���2�CVJ��V2i��;v4���Vu���g�㴷�ַŢ����WU��nyWi^>\��߇e:-V���Z����p2�ïnG(Ŵ�_g�����b����M�Z���9�Q2 -��[T����Lڨ�Y�Q��*��$�q���Ӈ&��g/�����/�����Tto1f�{&_���B� d-nc3�~�(���9��Y��'eU��6�;� It is essential that a drug test consent form is accompanied by other legal forms in order to cater the overall purposes of the company for their employees. Though conducting a company drug test often symbolizes some trust issues in the management, employees should take the procedures, results, and the opportunity to be healed openly. First Name * Last Name * Birth Date * + Social Security # * DISCLOSURE AND AUTHORIZATION FORM TO OBTAIN CONSUMER REPORTS (Criminal and Credit Check etc) & DRUG TESTING FOR EMPLOYMENT PURPOSES . 2. �~b���g��i.
Reasons can either be due to the physical symptoms that the employee portrayed in his workplace or that the employee is a newly hired member of the company wherein the test is recommended by the management. With this, it is essential that the doctor who gathered the blood or the urine samples of the donor will affix his signature on top of his name on the form to determine who will be held responsible for possible mishaps with the results. Please Read Carefully Before Signing the Authorization . I UNDERSTAND THAT TRUSTING CONNECTIONS WILL REQUIRE A DRUG SCREEN AND/OR ALCOHOL TEST UNDER THIS POLICY WHENEVER I AM INVOLVED IN AN ON-THE-JOB ACCIDENT OR INJURY UNDER CIRCUMSTANCES THAT SUGGEST POSSIBLE INVOLVEMENT OR INFLUENCE OF DRUGS OR ALCOHOL IN THE ACCIDENT OR INJURY EVENT, AND I AGREE TO SUBMIT TO ANY SUCH TEST. Commonly in a format that is similar to a formal letter, this section will highlight the specific tests that the management demands the employee to undergo as well as other agreements that are associated with the test. $�cW$���v(e�>v�@r&�"H��KAӊ����6�.H����NĮH�KzGk#�FQ$��w")m������ )+���ƭkǝ�]� ��>T�6��� ���!�h�IZ�f��tʦ�H��v[S$HU���������ބ��௷�����ٜ�#]�Fq�q`Y�U0��������0}t��G����{>�����d��ɿ 8LyS
52 0 obj
<>/Filter/FlateDecode/ID[]/Index[33 48]/Info 32 0 R/Length 99/Prev 216866/Root 34 0 R/Size 81/Type/XRef/W[1 3 1]>>stream
Below are three of the known documents that are necessary to be enclosed with the consent form: Information Release Forms – Although the management can acquire the consent of the employee to conduct and put him under a drug test surveillance or procedure, the employee may decline the request of the company and the doctor to use his results for other intentions. However, with the information release form, the employee will be able to highlight the range of usage for his personal data such as the limitations and the specific details, which are to be kept in anonymity and privacy for the employee’s protection. Along with other medical forms and papers, a drug test consent will indicate the willingness and the participation of an employee toward the request of his company. FBI Background Authorization– For an individual applying for something else and this is needed for certification. There are numerous varieties of drug testing consent forms; however, these three examples are the most known and commonly used by companies in different industries: Applicant Drug Screening Consent Form – This is used during the job application procedure when final applicants have been filtered and are nearing the stage of signing an employment contract. 0
Authorization for Background Screening and Drug Testing I authorize Action Air Conditioning Service, Inc. or its agents to conduct an investigation and verification of all statements and information contained in this application that they may deem relevant to evaluating my qualifications for employment. CONSENT FOR BACKGROUND CHECK (CRIMINAL/CREDIT ETC) & DRUG TESTING. O0�MK�*ɝ��j/���($W̫z�X�����%�L����. Such drug test may be a requirement of the company’s pre-employment background check program or part of the company’s random drug testing program. I agree that a reproduced copy of this Consent and Release for Employment Drug Screening shall have the same force and effect as the original. BACKGROUND CHECK AUTHORIZATION… endstream
endobj
startxref
Tenant Background Authorization– This is a form the landlord or manager will use to perform a credit and criminal report. Drug testing consent forms are legal documents in any state and country. With this, the important thing that employees and the staff must keep in mind is that the company is promoting wellness for their health, state, and work-life balance, and not serving a threat for causing a conflict in the current management. Random Drug Test Consent Form – Companies conduct random drug tests for the purpose of determining employees who use drugs and alcohol in the workplace immediately without informing the known users. 3. %PDF-1.5
%����
DISCLOSURE . A drug testing consent form is used by companies and organizations to conduct mandatory drug and alcohol tests for their employees and staff. form as part of your screening process. In considering you for …
Known drugs and other substances that companies require a test include amphetamines, cocaine, opiates, and marijuana.