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Drug and Alcohol Screening Consent Form

by Daniel Gray, from the Community

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This Drug and Alcohol Screening Consent and Chain of Custody form helps workplaces collect informed consent and maintain clear custody of samples during testing. It captures donor information, company and contact details, consent declarations, and collector certification. Record device and batch details, dates, and initial results across multiple drug classes (e.g., THC, AMP, OPI, BZO). Includes prompts for medication disclosure and sample integrity to support compliance.

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About author

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Drug and Alcohol Screening Consent Form | FSG Template | Free Template