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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, particularly justified by reasonable suspicion. Drug testing laws differ by state and industry; generally, testing requires employee consent, and refusal may lead to termination. Typically, a first failed test must be confirmed by a second to eliminate false positives, and employees may contest results, although challenging two failed tests is difficult. Some employers mandate pre-employment drug and alcohol testing, with variations in state laws. Employers are usually required to inform applicants about potential testing early in the hiring process.