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A Drug and Alcohol Testing Consent Form is used by employers to screen applicants and employees for substance use, justified by reasonable suspicion. Drug testing laws differ by state and industry; typically, testing requires employee consent, and refusal may lead to termination. A failed drug test generally needs confirmation through a second test to avoid false positives, and employees can contest results, although challenging two failed tests is difficult. Pre-employment testing may be mandated by some employers, who must inform applicants early in the hiring process about potential drug and alcohol testing. Random testing policies may also be implemented.