Get In Request/consent For Information From Previous Employer On Alcohol & Controlled Substances Testing Record 2002-2025
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How to fill out the IN Request/Consent for Information from Previous Employer on Alcohol & Controlled Substances Testing Record online
This guide provides clear, step-by-step instructions for completing the IN Request/Consent for Information from Previous Employer on Alcohol & Controlled Substances Testing Record online. Whether you are new to this process or seeking assistance, you will find helpful details to navigate the form accurately.
Follow the steps to complete the form effectively.
- Click 'Get Form' button to obtain the form and open it in the editor.
- In Section 1, fill in the date, your printed name (first, middle initial, last name), and provide your signature. This section is critical as it authorizes your previous employer to share your testing records.
- Complete the recipient information after 'I, the above mentioned signed, hereby authorize that (my previous employer) release and forward all information on my Alcohol and Controlled Substances Testing/Training records to'. Ensure you accurately name the prospective employer.
- Section 2 must be completed by your previous employer. Ensure they fill out the company name, address, and phone information accurately. They need to respond to the questions regarding your drug and alcohol testing history.
- In Section 2, your previous employer should answer the three questions about any positive tests, alcohol concentration levels, or test refusals in the past two years accurately.
- If any of the questions in Section 2 are answered 'YES', your previous employer must provide the contact details of the Substance Abuse Professional for further references.
- Section 3 requires the prospective employer to indicate the date the form was mailed and received from the previous employer. This ensures a proper timeline for communication.
- After all sections are completed, users can save changes, download, print, or share the form as necessary to ensure timely delivery.
Complete your documents online today for a streamlined process.
To provide Clearinghouse consent, you must complete a consent form indicating your agreement for your drug and alcohol testing records to be shared. This process allows authorized organizations to access your information for verification purposes. Including an IN Request/Consent for Information from Previous Employer on Alcohol & Controlled Substances Testing Record can simplify obtaining the necessary approvals.
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