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APPENDIX D-1 Rehabilitation Program Testing Consent Form

APPENDIX D-1 Rehabilitation Program Testing Consent Form 2025

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The document is a consent form for individuals accepted into a substance abuse rehabilitation program, outlining their agreement to undergo testing for prohibited substances as a condition of returning to work under the PMTA-ILA collective bargaining agreement. It specifies the consequences of failing or refusing tests, including potential termination and permanent barring from employment.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field at the top of the form. This personalizes your consent and ensures clarity.
Review the consent statement carefully. Ensure you understand your agreement to be tested at any time after entering the program.
In the signature section, sign your name to confirm your consent. This is a crucial step as it validates your agreement.
Next, have a witness sign in the appropriate area. This adds an extra layer of verification to your consent.
Fill in the date and time of signing, along with your Social Security Number if required. Ensure all information is accurate for compliance purposes.

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What documents do you need for a drug test?

Bring the Important Documents If you do not have a drivers license, another form of government-issued ID will suffice, such as a passport or military ID. Most employers pay for drug testing of employees and potential employees, therefore, you likely dont have to worry about making a payment.

What is a drug test consent form?

(d) Each person performing an annual or 100-hour inspection shall inspect (where applicable) components of the engine and nacelle group as follows: (1) Engine sectionfor visual evidence of excessive oil, fuel, or hydraulic leaks, and sources of such leaks. (2) Studs and nutsfor improper torquing and obvious defects.

What is the purpose of a consent form?

A consent form is used to show that a person will allow, approve, agree, or comply with something. Signing the form means that a person is fine with allowing the things contained within the form to happen.

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.

What is a drug test form?

A drug test consent form is the document you must present to an employee or prospective employee in advance to test for illegal drugs and alcohol. When an individual signs the form, it allows a healthcare worker to obtain a sample from them and a lab to share those results with you.

APPENDIX D-1 Rehabilitation Program Testing Consent Form 2025

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