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Reasonable Suspicion Consent Form

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EXPERTISE | EXPERIENCE | INTEGRITY

Drug Testing: Reasonable Suspicion Consent Form


(Check one)


  • I hereby refuse to submit for a reasonable suspicion drug test.


I understand that positive test results, refusal to be tested, attempts at delay of testing, or any attempt to affect the test results or test sample will result in termination of employment from S.C. Swiderski, LLC, depending on when the results are received.

I agree to hold harmless and release from all claims S.C. Swiderski, LLC and its agents (including the above-named facility) from any liability arising in whole or part out of the collection of specimens, testing, and the appropriate use of the information from such testing.


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                                             Employee Name (Printed)


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