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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 be triggered by reasonable suspicion of abuse. Drug testing laws differ by state and industry, generally requiring employee consent for tests. Refusal to complete the form may lead to termination. A first failed drug test often needs to be confirmed by a second test to avoid false positives, and employees can challenge results, although it's challenging with two failed tests. Pre-employment testing is common, with employers obligated to inform applicants early in the hiring process about potential testing. Random testing may also be conducted.