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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 is reasonable suspicion of abuse. Drug testing laws vary by state and industry; generally, testing requires employee consent. Refusal to complete the consent form can lead to termination. A first failed drug test typically must be confirmed by a second test to avoid false positives. Employees can contest results but challenging two failed tests can be difficult. Many employers also require pre-employment testing, and applicants should be notified at the beginning of the hiring process about the possibility of testing. Random testing may also be implemented by employers.