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Urinalysis consent form

Drug screening consent form 2025

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The document is a consent form for applicants undergoing a urinalysis drug screening as part of the pre-employment process for company or campus police officers in North Carolina. It outlines the applicant's understanding of the requirement to submit urine samples, the consequences of refusal or positive test results, and authorizes the disclosure of test results to relevant parties.

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Click ‘Get Form’ to open the drug screening consent form in the editor.
Begin by entering your name in the designated field at the top of the form. This identifies you as the applicant.
Review the consent statement carefully. Ensure you understand that submitting to a urinalysis is a requirement for employment.
Sign the form in the provided signature field, confirming your voluntary consent to undergo testing.
Fill in your Social Security Number in the specified area, which is necessary for identification purposes.
If required, complete any additional fields related to notary acknowledgment at the bottom of the form.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What happens if I refuse to do a drug test ordered by court?

Potential Penalties: Possible penalties for refusing a test can include: - Extension of your probation period. - Increased supervision. - Mandatory drug counseling or rehabilitation programs. - Jail time or re-incarceration, depending on the severity of the violation and your criminal history.

What happens if I refuse a drug test?

Non-DOT: Under general employment drug testing guidelines, refusal to submit to a drug or alcohol test is typically treated as a policy violation, which may result in disciplinary action, up to and including termination, based on the employers internal policies.

Can you fire someone for refusing a drug test?

Drug Testing as a Condition of Employment If your states law allows your employer to test for drugs, then it allows your employer to fire you for refusing to submit to a test. Your employer cant force you to take a test by, for example, physically restraining you in order to draw a blood sample.

What is a screening consent form?

The screening consent form must include a description of the tests, why the testing is needed, and a brief summary description of the study or type of studies in which the patient may later be asked to participate.

What happens if a person does not agree to a drug test?

You may be facing harsh fines and a long time off the road. A traffic law specialist will be able to help you understand your charges, your options, court procedures, and prepare your case so that you receive the best possible outcome at court.

drug screening consent form

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How long does a drug test refusal stay on your record?

Your refusal will be reported to the FMCSA Clearinghouse (if youre a CDL holder), and the record will remain until you complete the RTD process. Depending on company policy, your employer might terminate you. Your violation will remain on your record for five years or until you complete the RTD process.

What is required for a drug screening?

The test is usually done with a sample of your (pee). Less commonly, drug testing uses a sample of your blood, saliva (spit), hair, sweat, fingernails, or breath. The purpose of a drug test is to look for drug use and misuse, which includes: Using any illegal drugs, such as or club drugs.

Do you need to give consent for a drug test?

You must seek an individuals consent before conducting any drug or alcohol testing. This includes pre-employment testing of potential employees, as well as random, routine, and incident-based testing of current employees.