1990-06-11 Regular Meeting of La Porte City Council

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e e TEST CONSENT IN RETURN TO DUTY SITUATION; City policy provides that an employee suspended for having in his or her body system an unexplained presence of a prohibited substance, such as drugs or alcohol, may be required as a condition of reinstatement to enter the City- approved rehabilitation maintenance program. An element of the program may require the suspended employee to undergo, cooperate with, and successfully complete an approved course of therapy as a condition of reinstatement. Further, if reinstated, the employee may be required to remain enrolled in the program for the purpose of receiving followup, reinforcing, or maintenance therapy. If you are reinstated, you will be expected to remain free of those substances prohibited by the City's drug abuse policy, and you may from time to time be asked on an unannounced basis to provide specimens of your urine and/or blood plasma for laboratory analysis. If you refuse to provide such specimens when requested to do so or if such specimens reveal an unexplained presence of the prohibited substances, you may be subject to disciplinary action, including discharge or disbarment from the workplace. RESPONSE: I have read and understand the prov1s10ns regarding reinstatement following a violation of the City's policy on drug abuse. I agree to comply with those provisions. I specifically consent at this time to give a specimen of my urine and/or blood plasma for drug testing purposes. I also give consent to the City and its agents, including the collecting and testing agencies, to disclose and discuss the results of such testing. I further agree to hold the City and its agents harmless from any and all liability in connection with such testing. (Signature of Consenting Person) (Date) (Signature of Witness) (Printed Name of Consenter)