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EMPLOYEE AND APPLICANT CONSENT TO DRUG AND/OR ALCOHOL TEST AND AUTHORIZATION FOR Ri~l,FASE OF INFORMATION READ THIS FORM CAREFULLY I do hereby certify that I have received and read FirstSenvice Residential Florida, Inc.'s ("FirstService Residential")Drug-Free Workplace Program and Policies regarding Substance Abuse and Screening for Substance Abuse. I freely and voluntarily agree to submit to a drug screen-urinalysis or hair sample for all drugs except alcohol (alcohol to be tested by blood or breath sample)if required,as part of my application for employment. I understand that either refusal to submit to the drug screen or failure to qualify according to the minimum standards established by FirstSenice Residential for this screen may disqualify me from further consideration for employment I further understand that after employment begins with FirstService Residential,I may again be required to submit to a drug screen I understand that refusal to take a requested drug screen or failure to meet the minimum standards set for the screen may result in immediate suspension or discharge. I understand that if I tamper with or fail the tests,I may not be employed,and if an employee,will be subject to appropriate corrective action,up to and including discharge,or at FirstService Residential's sole discretion,required to comply with the terms of a last chance agreement. I understand that I shall report any drug conviction within five days from the date of conviction. FirstService Residential may report the conviction to any federal,state or local agency with which the employer has a contract and is otherwise required by law to report. A failure to report a drug conviction may result in corrective action. I understand that all information,interviews,reports,statements,memoranda and drug-free test results through the FirstService Residential's Drug Testing Program are confidential communications and may not be used unless I consent to release of such information or as otherwise required or allowed in accordance with state and federal laws and regulations. I will be directed to provide a urine,breath,hair and/or blood specimen at a medical or specimen collection facility chosen by FirstService Residential. I will be allowed to provide a urine specimen privately except that if I appear to be trying to provide a substituted,altered,or adulterated specimen,or have attempted to provide such a specimen previously or otherwise. If I appear to be attempting to tamper with the collection process,I may be required to provide an observed specimen and/or subject to corrective action or discharge. I will be allowed,if I choose,to disclose on my copy of the Chain of Custody form any medication I use. After collection, my urine, hair and/or blood specimen will be sent to a laboratory chosen by FirstService Residential to test for detectable amounts of controlled substances,including marijuana,cocaine,amphetamines,PCP, and/or opiates. My urine,breath,and/or blood also will be tested to determine whether the presence of alcohol in my system equals or exceeds.04 percent or whatever level is set by the particular state or local laws where I work. [12) Lukes' Landscaping, In,