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A Drug and Alcohol Testing Consent Form is utilized by employers to screen candidates and employees for substance use, often justified by reasonable suspicion. Drug testing laws differ by state and industry, generally requiring employee consent. Refusal to consent may lead to termination. Typically, a first failed test must be confirmed by a second to avoid false positives, and employees may contest results, although this is challenging with two failed tests. Pre-employment testing is common, with employers usually obligated to inform applicants about potential drug tests at the beginning of the hiring process. Random testing may also be implemented.