Get Employee Refusal To Submit To Substance ... - Indiana University

This guide provides a comprehensive overview of how to properly complete the Employee Refusal To Submit To Substance Abuse Testing form at Indiana University. Following these clear steps can help ensure that you accurately document your refusal.

Follow the steps to fill out the form online.

1. Click the ‘Get Form’ button to access the form and open it in the preferred digital editor.
2. Begin by filling in the 'Employee – Print Name' field with your full legal name, as it appears on official documents.
3. Next, sign your name in the 'Employee – Signature' field, confirming your refusal to submit to the substance abuse testing.
4. Enter the date of your refusal in the 'Date' field, utilizing the format MM/DD/YYYY.
5. Proceed to the 'Supervisor – Print Name' section, where your supervisor should provide their full legal name.
6. The supervisor must then sign their name in the 'Supervisor – Signature' field to acknowledge the refusal.
7. The supervisor should complete the 'Date' field with the date they witnessed the refusal, in the format MM/DD/YYYY.
8. If applicable, the witness or union representative must print their name in the designated field and provide their signature.
9. The witness or union representative should also fill in the date they signed the form.
10. If you are a supervisor completing the Statement of Refusal, fill in your full name, provide your signature, and include your title and date.
11. Once all fields are accurately filled out, ensure to save your changes. You can choose to download, print, or share the completed form as needed.

Complete your forms online today to ensure all procedures are followed correctly.