SOP_NUMBER: 104.58-att-6
TITLE: Alcohol and Drug Test Notification (Random)
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Appearance/Conduct/Evaluations
EFFECTIVE_DATE: 2020-08-19
WORD_COUNT: 270
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/175432
URL: https://gps.press/sop-data/104.58-att-6/

SUMMARY:
This is a notification form used to inform GDC employees that their position has been randomly selected for drug and alcohol testing. The form instructs employees where to report, what to bring, and outlines the consequences of refusing to test, failing to appear, obstructing the process, or testing positive for illegal drugs without medical justification, which can result in dismissal from employment and disqualification from state employment for two years.

KEY_TOPICS: random drug testing, alcohol testing, drug test notification, employee testing, refusal to test, specimen collection, drug screening, employee dismissal, state employment disqualification, custody and control form

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 6

8/19/20


**MEMORANDUM**

TO: Employee Name and SSN

FROM: Appointing Authority Name/Title

SUBJECT: **ALCOHOL and/or DRUG TEST NOTIFICATION (RANDOM)**

DATE: Date Being Issued

**Your position has been randomly selected for drug testing. You will:**


1. Report to the designated testing location
2. Bring a picture ID
3. Receive the Custody and Control Form; and
4. A copy will be provided to you

**You are advised that if:**


a) you expressly decline to submit to alcohol or other drug testing;
b) you fail to appear at the testing location by the specified time;
c) you engage in conduct that clearly obstructs the testing process;
d) you fail to provide adequate urine for testing (45ml.) and/or breath for alcohol testing

without an acceptable medical reason;
e) you leave the testing site before providing an adequate sample in the allotted time (up to 3

hours if necessary);
f) the temperature of your specimen is outside the acceptable range;
g) the laboratory and/or the MRO determine that your sample has been adulterated or

substituted, or,
h) the testing indicates use of an illegal drug(s) without a legitimate medical explanation.

**This will be considered a Refusal and the actions described below will be taken:**

**You will be dismissed from employment and disqualified from state employment for a**
**period of 2 years from the date of notification.**

I certify that I have read and understand the information contained in this document.

~~Applicant Signature~~ ~~Date/Time~~


Retention Schedule: Upon completion this form shall be retained permanently in the employee’s official and local personnel
file. If not hired, retain in the Interview/Selection file for two (2) calendar years.