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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 also be warranted by reasonable suspicion. Drug testing laws differ by state and industry, generally requiring employee consent for testing. Employees refusing to complete the consent form may face termination. Typically, a failed drug test must be confirmed with a second test, and employees may contest results, although this can be challenging after two failed tests. Pre-employment testing is common, with employers often required to inform applicants at the beginning of the hiring process about potential testing. Random testing may also be conducted.