Get Code No. 403.7e4 Drug/alcohol Test Notification Form ... - Brooklyn K12 Ia

Filling out the Code No. 403.7E4 drug/alcohol test notification form online is essential for ensuring compliance with testing regulations at Brooklyn K12 Iowa. This guide offers step-by-step instructions to help you accurately complete the form.

Follow the steps to effectively complete the notification form.

1. Select the ‘Get Form’ button to retrieve the document and open it in the editing interface.
2. Enter the date in the designated field. Ensure that you input the correct date of form completion.
3. Fill in your social security number in the provided space. This information is necessary for identification purposes.
4. Print your name clearly in the designated area. This confirms your identity and involvement in the testing process.
5. Indicate the type of test required by checking the relevant boxes: Drug, Alcohol, or Both, along with the specific circumstances such as Random, Pre-employment, Post-accident, or Reasonable suspicion.
6. Complete the section for times related to the notification. This includes the time sent by the district, time arrived at the collection site, and time the test was completed. Accurate timings help track the process.
7. Identify the collection site personnel responsible by providing their name in the appropriate spaces, ensuring accountability.
8. Write the address of the collection site where the test is to be taken. This is crucial for locating the testing facility.
9. Acknowledge the consequences of test results by reviewing the statement regarding positive drug and alcohol test outcomes. This emphasizes understanding regarding employment consequences.
10. Sign the form at the designated space to confirm your understanding and agreement to the terms outlined.
11. Enter the approval and review dates as needed. These dates indicate formal acknowledgement of the form.
12. Once all fields are completed, save your changes. You can also download, print, or share the form as required for your record-keeping.

Ensure compliance by completing your drug/alcohol test notification form online today.