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A Drug and Alcohol Testing Consent Form is utilized by employers to assess applicants and employees for substance use, which may also be warranted by reasonable suspicion. Drug testing laws differ by state and industry; typically, tests can only occur with employee consent. If an employee refuses to complete the form, it may lead to termination. A failed drug test usually requires confirmation through a second test to eliminate false positives. Employees can contest results, though it's challenging with two failed tests. Pre-employment testing is common, and employers must generally inform applicants about potential testing early in the hiring process. Random testing may also be conducted.