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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, generally requiring employee consent for tests. An employee's refusal to complete the consent form may result in termination. Typically, a first failed drug test must be confirmed by a second to avoid false positives. Employees have the right to contest results, although challenging two failed tests can be difficult. Some employers mandate pre-employment testing, and applicants must be notified early in the hiring process about potential testing. Random testing may also be conducted.