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HomeMy WebLinkAboutPolicy SummaryDrug -Free Work Place Policy Summary Read carefully, ask any questions and initial each item separately. I hereby acknowledge that I have received a summary of the Employer's Drug -Free Workplace Policy. I have had the opportunity to read the Employer's Drug -Free Workplace program and receive satisfactory answers to any questions that I have. I have also received a copy of the list of over-the-counter and prescription drugs that could alter or affect the outcome of a drug test. I know that if I am taking medicine that could affect my ability to perform my job (i.e., there are warning labels on the container) I must inform my supervisor immediately. I know that if I refuse to submit to a pre-employment drug test I will not be hired and my employment is conditioned upon a negative drug test result. I know that total compliance with the Employer's Drug -Free Workplace Policy is a condition of continued employment. I know that if I refuse a reasonable suspicion, post -injury, post accident, fitness -for -duty or post-treatment drug or alcohol test I may lose my job. Also, I understand that my unemployment benefits, and my workers' compensation medical and indemnity benefits may be denied. I know that if I am injured, cause or contribute to the cause of an injury or an accident and test positive for drugs or alcohol I will be subject to discipline up to and including discharge. I know that if I enter into a treatment program for drug or alcohol abuse and test positive for drugs or alcohol following the completion of the primary phase of my treatment I will be subject to discipline up to and including discharge. I know that I have the right to challenge any positive test result and that I must notify the laboratory and the MRO that I am challenging the test result. I know that if I am convicted of a drug related crime I must notify my supervisor within five working days. I agree to comply with the drug and alcohol testing requirements of the Greater Miami Caterers Drug -Free Workplace Policy. I give my informed consent for the release of drug and/or alcohol test results, to the Greater Miami Caterers. I know that the Employer's Drug -Free Workplace Policy does not constitute an employment contract between the Greater Miami Caterers and me. I have read and understood each of the preceding items that I have initialed. I have had the opportunity to question any item that I did not understand. I have voluntarily signed this form. Employee Date Witness Date I hereby refuse to submit to a drug test as part of the Employer's. Drug -Free Workplace Program. Employee Date Witness Date