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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. Laws governing drug testing differ by state and industry, typically requiring employee consent. An employee's refusal to complete the consent form may lead to termination. A first failed drug test generally necessitates confirmation through a second test to eliminate false positives. Employees often have the right to contest results, though challenging two failed tests can be difficult. Some employers mandate pre-employment testing, and laws usually require that applicants are informed about potential testing early in the hiring process.