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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, including instances based on reasonable suspicion. Drug testing laws differ by state and industry, generally requiring employee consent for testing. Refusal to consent may lead to termination. Typically, a first failed test must be confirmed by a second to avoid false positives, with employees having the right to contest results, though this can be challenging after two failed tests. Many employers mandate pre-employment drug and alcohol testing, legally obligated to inform applicants about potential testing early in the hiring process.