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A Drug and Alcohol Testing Consent Form is utilized by employers to screen employees and applicants for substance use, typically justified by reasonable suspicion. Drug testing laws differ by state and industry, generally requiring employee consent for tests. Refusal to complete the form may lead to termination. A first failed drug test usually needs confirmation by a second test to avoid false positives. Employees may contest results, although this can be challenging with two failed tests. Some employers mandate pre-employment testing, necessitating that applicants be informed about potential testing at the beginning of the hiring process.