Skip to content
FREE QUOTE
877-216-9996
info@faithjanitorialcorporation.com
Login/Register
Facebook page opens in new window
X page opens in new window
Yelp page opens in new window
Linkedin page opens in new window
Faith Janitorial Corporation
Residential & Commercial Cleaning Services
Home
Services
Commercial
Residential
Covid-19 Disinfecting Cleaning
Our Work
About
Blog
Contact
Commercial, Industrial & Healthcare Janitorial Service
Business Deepcleanings
Residential Deepcleanings
Employment
FREE QUOTE
Home
Services
Commercial
Residential
Covid-19 Disinfecting Cleaning
Our Work
About
Blog
Contact
Commercial, Industrial & Healthcare Janitorial Service
Business Deepcleanings
Residential Deepcleanings
Employment
DRUG & ALCOHOL SCREENING CONSENT AND RELEASE
You are here:
Home
DRUG & ALCOHOL SCREENING CONSENT…
DRUG & ALCOHOL SCREENING CONSENT AND RELEASE
I authorize
(Required)
I, the undersigned, an applicant for employment with or an existing employee employed by Faith Janitorial Corporation, hereby voluntarily consent to the taking of specimens for drug & alcohol testing (substance abuse screening) as a condition of my initial and/or continued employment with Faith Janitorial Corporation. I authorize the release of all results of such screening to Faith Janitorial Corporation.
(Required)
I agree
(Required)
I release Faith Janitorial Corporation, the testing laboratory, its physicians, nurses, technicians, and any other employees or agents involved with my tests from any and all liabilities, claims, or causes of action relating to such substance abuse screening, including, without limitation, those that may result from administering such tests and/or the disclosure of test results.
(Required)
I agree
(Required)
I understand and freely and voluntarily agree that if Faith Janitorial Corporation asks me to, I will submit to substance abuse screening. I understand that either refusal to submit to the substance abuse screen or a positive test result may result in revocation of a conditional offer of employment or termination of my employment, as applicable.
(Required)
In the case of a breath alcohol test, I understand and agree that if the breath alcohol test level as determined by the test reflects an illegal level of intoxication, I will be unable to operate a motor vehicle and must use an alternative form of transportation operated by someone other than myself. If I refuse alternative transportation, I understand and agree that law enforcement officials will be notified.
For your electronic signature (type in your full name for your e-signature)
Employee/Applicant’s Printed Name
First
Middle
Last
Date
MM slash DD slash YYYY
Go to Top
