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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, justified by reasonable suspicion of abuse. Drug testing laws differ by state and industry, generally requiring employee consent. Refusal to consent may lead to termination. A first failed drug test typically needs confirmation through a second test to avoid false positives, and employees can contest results, though challenging two failed tests is often difficult. Some employers mandate pre-employment testing, and legal requirements usually dictate that applicants be informed about the possibility of testing early in the hiring process. Random testing protocols may also apply.