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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, and may also be warranted by reasonable suspicion. Drug testing laws differ by state and industry, but generally require employee consent; refusal to consent may lead to termination. A first failed drug test typically must be confirmed with a second test to avoid false positives. Employees often have the right to contest results, though disputing two failed tests is challenging. Many employers mandate drug and alcohol testing for applicants before employment, and they are generally obliged to inform candidates about potential testing early in the hiring process.