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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, often in cases of reasonable suspicion. Drug testing laws differ by state and industry, generally requiring employee consent. An employee's refusal to consent may lead to termination. Typically, a first failed drug test must be confirmed by a second test to verify results, and employees have the right to contest findings, although disputing two failed tests is challenging. Pre-employment testing is common, with employers usually obligated to inform applicants during the hiring process that testing may occur. Random testing may also be implemented.