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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, and it may be warranted based on reasonable suspicion. Drug testing laws differ by state and industry, generally requiring the employee's consent. Refusal to sign the form may lead to termination. A first failed drug test typically must be confirmed by a second test to avoid false positives, and employees can contest results, although this can be challenging with two failed tests. Some employers mandate drug and alcohol testing for applicants before employment, and they are usually required to inform applicants about the potential testing at the beginning of the hiring process.