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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 in some cases. Drug testing laws differ by state and industry, but generally, testing requires employee consent. Refusal to consent may lead to termination. Typically, a first failed test must be confirmed by a second to avoid false positives. Employees can contest results, though it is challenging with two failed tests. Pre-employment testing is common, with employers needing to inform applicants that testing may occur early in the hiring process. Random testing may also be implemented in some workplaces.