Laserfiche WebLink
<br />e <br /> <br />. <br /> <br />- 9 - <br />APPENDIX A <br /> <br />ACKNOWLEDGEMENT AND CONSENT <br />Commercial Motor Vehicle Substance Abuse Policy <br /> <br />Please sign, date, and retum this form to your supervisor as soon as possible. <br /> <br />I HAVE RECEIVED AND READ A COpy OF THE CITY OF LA PORTE COMMERCIAL <br />MOTOR VEHICLE SUBSTANCE ABUSE POLICY. I UNDERSTAND THAT THIS POLICY <br />IS PART OF THE CITY'S PERSONNEL RULES AND REGULATIONS AND THAT IT <br />APPLIES TO ALL EMPLOYEES WHO HOLD A COMMERCIAL DRIVER'S LICENSE AND <br />ARE REQUIRED AS PART OF THEIR EMPLOYMENT TO OPERATE COMMERCIAL <br />MOTOR VEHICLES. <br /> <br />Print Name <br /> <br />Social Security Number <br /> <br />Signature <br /> <br />Date <br /> <br />Witness <br /> <br />Date <br />