SOP_NUMBER: 104.58-att-11
TITLE: Withdrawal of Employment Offer for Refusal to Test_Failure to Remain or Appear for Pre-Employment Drug Test
WORD_COUNT: 190
URL: https://gps.press/sop-data/104.58-att-11/

ATTACHMENTS:
  1. Sample Letter - Alcohol/Drug Suspension with Pay (Classified/Unclassified Employee)
     URL: https://gps.press/sop-data/104.58-att-1/
  2. Sample Letter - Alcohol Dismissal (Classified Employee)
     URL: https://gps.press/sop-data/104.58-att-2/
  3. Sample Letter - Alcohol Dismissal (Unclassified Employee)
     URL: https://gps.press/sop-data/104.58-att-3/
  4. Sample Letter - Drug Dismissal (Unclassified Employee)
     URL: https://gps.press/sop-data/104.58-att-4/
  5. Sample Letter Drug Dismissal (Classified Employee)
     URL: https://gps.press/sop-data/104.58-att-5/
  6. Alcohol and Drug Test Notification (Random)
     URL: https://gps.press/sop-data/104.58-att-6/
  7. Alcohol/Drug and CDL Drug Testing Log
     URL: https://gps.press/sop-data/104.58-att-7/
  8. Drug Test Awareness Statement/Notification (Pre-Employment)
     URL: https://gps.press/sop-data/104.58-att-8/
  9. On-Site Substance Abuse Screening Documentation Form
     URL: https://gps.press/sop-data/104.58-att-9/
  10. Withdrawal of Employment Offer Due to Positive Pre-Employment Drug Test
     URL: https://gps.press/sop-data/104.58-att-10/
  11. Withdrawal of Employment Offer for Refusal to Test_Failure to Remain or Appear for Pre-Employment Drug Test
     URL: https://gps.press/sop-data/104.58-att-11/
  12. Behavioral/Incident Documentation Form (for Reasonable Suspicion Drug and Alcohol Testing)
     URL: https://gps.press/sop-data/104.58-att-12/

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FULL TEXT:
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SOP 104.58
Attachment 11

8/19/20


**SAMPLE LETTER**
**Withdrawal of Employment Offer For**
**Refusal to Test/Failure to Remain or Appear**

**For Pre-Employment Drug Test**

Date


Selectee's Name
Address
City, State, Zip Code

Dear [Name of Selectee]:

On   ( **INSERT THE DATE THE SELECTEE WAS OFFERED EMPLOYMENT** )       you were offered
the position of    ( **INSERT TITLE OF POSITION OFFERED)** at **(INSERT NAME OF**
**FACILITY)** .  This employment offer was contingent upon passing a drug test.

**Choose One:**

 - You were notified on        ( **INSERT THE DATE** ) that an on-site drug test would be

immediately administered and you failed to remain for the on-site test.

 - On      ( **INSERT THE DATE)** **,** you refused to submit to a drug test.

 - You were to report to a collection site no later than the close of business on **(INSERT THE**

**DATE)** **,** but failed to do so.

 - Your name was listed as having a prior drug test result

Therefore, the offer of employment at **(INSERT NAME OF FACILITY)** has been withdrawn.

Sincerely,

[Signature]
[Name and Title of Appointing Authority]

CC: CHRM Drug Test Coordinator


Retention Schedule: Upon completion, this form shall be retained for two (2) calendar years in the Interview/Selection
File.