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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, often justified by reasonable suspicion. Drug testing laws differ by state and industry; typically, testing requires employee consent, and refusal may lead to termination. Generally, a first failed drug test should be confirmed by a second to avoid false positives, and employees may contest the results, although arguing against two failed tests can be challenging. Pre-employment testing is common, with employers usually obligated to inform applicants about potential testing early in the hiring process. Random testing may also be implemented by some employers.