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A Drug and Alcohol Testing Consent Form is utilized by employers to screen employees and applicants for substance use. Testing can occur based on reasonable suspicion. Drug testing laws differ by state and industry; tests require employee consent, and refusal to consent can lead to termination. Usually, a first failed drug test needs confirmation through a second test to avoid false positives. Employees may contest results, but challenging two failed tests is difficult. Pre-employment testing is common, with employers obliged to inform applicants about potential testing during the hiring process. Additionally, random testing may be conducted.