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A Drug and Alcohol Testing Consent Form is utilized by employers to screen candidates and employees for substance use, particularly when there is reasonable suspicion. Drug testing laws differ by state and industry but typically require employee consent. Refusal to consent may lead to termination. Usually, a first failed test must be confirmed by a second to eliminate false positives. Employees can contest results, though challenging two failed tests is difficult. Pre-employment testing might be mandatory for some applicants, and employers must inform them about potential testing early in the hiring process. Random testing may also occur as part of ongoing employee evaluation.