On-Site Drug and Alcohol Authorization Form

Use this on-site drug and alcohol testing authorization form to document employee consent following a post-accident or incident event. Capture test administrator and donor names, date and location, saliva drug test lot numbers and expiration dates, indicate if a second test is required, and note when additional laboratory testing is arranged. Include return-to-work date and time, and route completed results to Safety and Human Resources for recordkeeping. This customizable template supports incident response, HR documentation, and compliance with company policy; always consult your legal or HR advisor to confirm suitability for your workplace and jurisdiction.