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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use. It may also be invoked when there is reasonable suspicion of abuse. Drug testing laws differ by state and industry; typically, tests require employee consent, and refusal may lead to termination. A first failed drug test usually must be confirmed by a second test to avoid false positives. Employees can contest results, but two failed tests make it challenging. Pre-employment testing is common, and employers generally must inform applicants at the beginning of the hiring process about the possibility of testing.