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Application-Affidavit/Checklist for Certification of Kentucky Drug-Free Workplace Program Pursuant to 803 KAR 25:280

State:
Kentucky
Control #:
KY-SKU-1276
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PDF
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Application-Affidavit/Checklist for Certification of Kentucky Drug-Free Workplace Program Pursuant to 803 KAR 25:280

The Application-Affidavit/Checklist for Certification of Kentucky Drug-Free Workplace Program Pursuant to 803 CAR 25:280 is a form used to certify that an employer is compliant with the state’s drug-free workplace laws. This form is mandated by the Kentucky Department of Workers’ Claims and is part of the Kentucky Drug-Free Workplace Program. The form must be completed in order for an employer to receive certification. The form includes several sections, including a basic overview of the program, an application section, an affidavit of compliance, and a checklist of requirements. In the application section, employers must provide basic information such as their name, address, and the name of the person responsible for the Drug-Free Workplace Program. In the affidavit, employers must affirm that they have implemented all the necessary components of a drug-free workplace program, such as a written policy, employee education, and supervisor training. Lastly, in the checklist, employers must provide evidence that they have met all the requirements of the program. There are three types of Application-Affidavit/Checklist for Certification of Kentucky Drug-Free Workplace Program Pursuant to 803 CAR 25:280: an Initial Certification, a Renewal Certification, and a Recertification. The Initial Certification is used when an employer is applying for certification for the first time. The Renewal Certification is used when an employer is applying for recertification after their initial certification has expired. The Recertification is used when an employer is applying for certification after having their certification revoked.

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FAQ

Internet and WestLaw computer searches show that seven states have laws requiring insurers to give workers' compensation premium reductions or credits to employers with drug-free workplace programs. The states are Alabama, Florida, Georgia, South Carolina, Tennessee, Virginia, and Washington.

What is a "Drug Free Workplace?" It is an employment setting where all employees adhere to a program of policies and activities designed to provide a safe workplace, discourage alcohol and drug abuse and encourage treatment, recovery and the return to work of those employees with such abuse problems.

A comprehensive drug-free workplace program generally includes the following five components. Drug-Free Workplace Policy. A written policy is the foundation of a drug-free workplace program.Supervisor Training.Employee Education.Employee Assistance.Drug Testing.

Advises and assists managers regarding appropriate personnel and disciplinary actions related to illegal drug use.

Company Name prohibits all employees, including employees performing work under government contracts, from manufacturing, distributing, dispensing, possessing or using an illegal drug in or on company premises or while conducting company business.

Under the Drug-Free Workplace Act of 1988, federal workplaces and non-federal workplaces with a federal contract of $100,000 or more or a federal grant in any amount must implement a Drug-Free Workplace Program, which includes drug testing requirements.

Reasons they may suggest might include improved productivity, lower absenteeism, prevention of theft, improved safety and improved morale. An effective drug-free program will also help prevent work-related injuries and illnesses. This can help employers achieve long-term safety and cost-savings benefits.

4 Tips for Maintaining a Drug-Free Workplace Develop a Written Policy.Educate Employees.Encourage Assistance Programs.Build a Culture of Support.

More info

Find Certified Labs, Specimen Collection Checklists, Medical Review Officer (MRO) resources, and read more about drug testing. The model plan has proven to be an exceptionally durable document and continues to be the standard for federal agency drug-free workplace plans and programs.Some states provide workers compensation premium credits to employers with drugfree workplace programs2. Annually certified drugfree workplace program in compliance with the Act. Self-insured employers are not eligible. Complete and submit sections 1, 2 and 12 of the Health Care Licensing Application, Drug Free Workplace Laboratory, AHCA Form 3170-5001.

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Application-Affidavit/Checklist for Certification of Kentucky Drug-Free Workplace Program Pursuant to 803 KAR 25:280