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A Drug and Alcohol Testing Consent Form is utilized by employers to screen applicants and employees for substance use, and can be enacted based on reasonable suspicion of abuse. Drug testing laws differ by state and industry; typically, testing requires employee consent, and refusing to consent may lead to termination. Generally, a first failed test must be confirmed with a second to exclude false positives. Employees often have the right to contest results, but this can be challenging with two failed tests. Some employers mandate pre-employment testing for drugs and alcohol, and laws generally require notifying applicants about potential testing at the beginning of the hiring process. Random testing may also occur.