Pre-employment Instant Drug & Alcohol Screening Consent

  • Participant declaration

    • I consent to the collection of breath, urine, oral, and/or fluid specimen for testing for traces of alcohol and/or other drugs.
    • I certify that the information provided on this form is correct and the sample provided is my own.
    • I confirm that I have directly provided all collected samples to an authorised collector.
    • I confirm testing performed was done so in my presence.
    • I consent to the release of all test results together with all relevant details and notations on this form to the nominated representative of the requesting authority.
  • Date Format: MM slash DD slash YYYY