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<br />e <br /> <br />e <br /> <br />EMPLOYEE'S CONSENT TO DRUG TEST; <br /> <br />I have read and I understand my employer's policy regarding <br />drug abuse. I understand that it is the practice of my <br />employer to conduct drug tests for the purpose of carrying <br />out the policy. <br /> <br />I understand that I cannot be compelled to give a specimen <br />of my urine. I understand that if I give a urine specimen <br />it will be tested for drugs. I understand that the giving <br />of a urine specimen, when requested by my employer, is a <br />condition of my continued employment. <br /> <br />I understand that if a test of my urine reveals an <br />unexplained presence of a drug, my employer may take <br />disciplinary action against me, up to and including <br />termination of my employment. <br /> <br />I authorize the officers, employees and agents of the drug <br />testing agency and my employer to communicate among <br />themselves for official purposes my drug test results both <br />orally and in writing, and to communicate such tests results <br />at any judicial or administrative proceeding. I also <br />authorize the officers, employees and agents of the drug <br />testing agency and my employer to have continued access to <br />my urine specimen for the purpose of any further analysis or <br />study that may be necessary. <br /> <br />At this time I hereby agree to give a urine specimen. <br /> <br />Signed: <br /> <br />Printed Name: <br /> <br />Date: <br /> <br />Witness: <br />