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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, particularly when there's reasonable suspicion of abuse. Drug testing laws differ by state and industry, generally requiring employee consent for testing. Refusal to complete the consent form may result in termination. If an employee fails a drug test, a second confirmatory test is typically mandated to rule out false positives. Employees have the right to contest results, but challenging two failed tests is often difficult. Pre-employment testing may be required by some employers, who must inform applicants early in the hiring process that testing may occur. Random testing is also common practice.