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A Drug and Alcohol Testing Consent Form is utilized by employers to assess applicants and employees for substance use, typically justified by reasonable suspicion. Drug testing laws differ by state and industry, generally requiring employee consent. Refusal to complete the consent form can lead to termination. A first failed drug test should usually be confirmed with a second test to avoid false positives. Employees may contest results, though it is challenging with two failed tests. Pre-employment testing is common, and employers must inform applicants early in the hiring process about potential drug testing requirements. Random testing may also be conducted.