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A Drug and Alcohol Testing Consent Form is used by employers to screen applicants and employees for substance use. This form can also be utilized based on reasonable suspicion of abuse. Drug testing laws differ by state and industry, typically requiring employee consent for tests. Refusal to complete the form may result in termination. A first failed test usually needs confirmation by a second test to avoid false positives. Employees can contest results, but challenging two failed tests can be difficult. Some employers mandate drug and alcohol testing before hiring, and they must inform applicants at the beginning of the hiring process about potential testing.