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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, especially when there is reasonable suspicion of abuse. Drug testing laws vary by state and industry, but generally, tests require employee consent; refusal may lead to termination. Typically, a first failed test must be confirmed by a second to dismiss false positives. Employees may contest test results, although challenging two failed tests is often difficult. Some employers mandate pre-employment drug and alcohol testing, and laws typically require them to inform applicants about potential testing at the beginning of the hiring process. Random testing may also be implemented thereafter.