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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, and can be enacted based on reasonable suspicion. Drug testing laws are state and industry-specific, generally requiring employee consent; refusal may lead to termination. Typically, a failed drug test must be confirmed by a second test to avoid false positives. Employees may contest results, although challenging two failed tests can be difficult. Many employers mandate pre-employment drug and alcohol testing, and applicants must be informed during the hiring process that testing may occur. Random testing may also be implemented post-employment.