Drug & Alcohol Testing Consent FormPlease read and fill out the form below. Name First Name Last Name Phone (###) ### #### Email * Please read and check off the appropriate boxes I understand I am required to provide a Urine and/or Oral Fluid Specimen which will be used to screen for drug metabolites as required by my employer. Yes Please provide additional information I understand that my specimen may be forwarded to an approved laboratory for further analysis as required by my employer. Yes Please provide additional information I understand I am required to provide a Breath sample to screen for ethanol and determine blood alcohol concentration Yes Please provide additional information I am consenting to the workplace drug and alcohol testing as required by my employer and understand all results will be recorded and reported to the appropriate representatives within the organization. Yes Please provide additional information I understand that by completing this form I declare that consent has been given voluntarily and I assume any and all risks associated with the testing being administered. I understand that TestTech Occupational Testing Solutions Inc. is a service provider for my employer and that TestTech OTS Inc. does not determine employment or provide a recommendation to hire. Yes Please provide additional information Signature * By typing your name here you are consenting to all of the above. I accept the above typed name as my signature for the purpose of this Consent Form * Yes Thank you for submitting!
