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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, often justified by reasonable suspicion. Drug testing laws differ by state and industry, with tests generally requiring employee consent. Refusing to complete the form may lead to termination. Typically, a first failed drug test must be confirmed by a second test to rule out false positives, and employees may contest results, although this can be challenging after two failed tests. Some employers mandate pre-employment testing, and laws generally require that applicants are informed about potential testing early in the hiring process.