Employee Drug and Alcohol Consent Form

Employee Drug and Alcohol Test Consent Form

As an employee of {INSERT COMPANY NAME} ("the Company"), I understand that the use of drugs, alcohol and other controlled substances in the workplace creates a safety concern for all employees.   In the interest of creating a safe working environment, I hereby give my consent for the Company to conduct the drug and alcohol tests it considers necessary as outlined in the Drug Test policy.

I authorize the Company to take the necessary specimens from me to test for drugs, alcohol and other controlled substances, and I authorize laboratory or medical personnel retained by the Company for these tests to release the results to {INSERT COMPANY NAME}.   I release the laboratory or medical personnel conducting the drug test, the Company, and the Company´s employees, directors, officers and successors from any liabilities, claims and causes of action, known or unknown, contingent or fixed, that may result from these tests and I agree not to file any lawsuits or other actions to assert a claim.

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Print Name

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Signature

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Date