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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 be implemented based on reasonable suspicion of abuse. Drug testing laws differ by state and industry, but typically require employee consent. Refusal to consent can lead to termination. Generally, if an initial drug test is positive, a second confirmatory test is required. Employees can contest results, though disputing two failed tests is challenging. Pre-employment testing is common, with employers usually obligated to inform applicants about potential testing early in the hiring process. Random testing may also be conducted as per legal requirements.