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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, generally requiring employee consent; refusal may lead to termination. Typically, a first failed test must be confirmed with a second to avoid false positives, and employees may contest results, although disputing two failed tests is challenging. Some employers mandate pre-employment testing, necessitating notification to applicants about potential drug and alcohol tests early in the hiring process. Random testing policies may also apply.