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I understand that pursuant to Precision Landscape and Tree, Inc.'s Policy for a Drug and Alcohol-Free Workplace, I am being required to drug screening test.
I hereby consent to submit to urinalysis, breath, blood, and/or other tests as shall be determined by Precision Landscape and Tree, Inc. for the purpose of determining the use of illegal drugs.
I agree that North Memorial Clinic, or an alternate company selected facility, may collect these specimens for these tests and may test them or forward them to a testing laboratory designated by the Company for analysis. I further agree to and hereby authorize the release of the results of said tests to the Company.
I understand that it is the current illegal use of drugs and/or abuse of alcohol that prohibits me from obtaining employment with the Company.
I am unaware of any medical condition that would indicate that either the screen or physical examination might endanger my physical health.
I agree to hold harmless the Company and its agents (including the above named physician or clinic) from any liability arising in whole or part out of the collection of specimens, testing, and use of the information from said testing in connection with the Company's consideration of my continuing employment.
I agree that a reproduced copy of this consent and release form shall have the same force and effect as the original.
I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.
In conjunction with my potential employment at Precision Landscape and Tree, Inc. (“the company”), I consent to the release of my Motor Vehicle Records (MVR) to the company. I understand the company will use these records to evaluate my suitability to fulfill driving duties that may be related to the position for which I am applying. I also consent to the review, evaluation, and other use of any MVR I may have provided to the company. This consent is given in satisfaction of Public Law 18 USC 2721 et. Seq., “Federal Drivers Privacy Protection Act”, and is intended to constitute “written consent” as required by this Act.
I authorize Precision Landscape and Tree, Inc. to obtain my MVR. I understand that the company will periodically review my motor vehicle record and assess my eligibility to drive a motor vehicle on company business. This authorization remains valid as long as I am an employee or employee candidate and may only be rescinded in writing.