Common use of Conflict with Other Laws Clause in Contracts

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name of Employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnel

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local Local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUGConsent and Release Form for Drug/ALCOHOL TEST PROGRAM Alcohol Test Program I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Police Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's City’s Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review PhysicianOfficer. I understand that the Medical Review Physician Officer will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician Officer to review my status, my medical history and any relevant biomedical factors prior to the Fire Department City being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department City’s Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation programalcohol. I understand that such disciplinary action, as described herein, may include dismissal from employment with the Fire DepartmentCity. Printed or Typed Name typed name of Employee employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnelemployee Date

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, Federal or State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUGConsent and Release Form for Drug/ALCOHOL TEST PROGRAM Alcohol Test Program I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's ’s drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's ’s Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review PhysicianOfficer. I understand that the Medical Review Physician Officer will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician Officer to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name typed name of Employee employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnelemployee

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name of Employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst (Exhibit H) XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: :II. Personnel PERSONNEL SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnel

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: _ APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: _ By: Xxxxxxx Xxxxxx _ President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. _ Printed or Typed Name of Employee _ Signature of Employee _ Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit EXHIBIT H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnel

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: _ APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: _ By: Xxxxxxx Xxxxxx _ President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. _ Printed or Typed Name of Employee _ Signature of Employee _ Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnel

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name of Employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit EXHIBIT H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnel

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name of Employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit EXHIBIT H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnel

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name of Employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst (Exhibit H) XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular PersonnelPersonnel ARTICLE: 1 Revised: 04/23/19 Name Date of Hire Years Vacation Shifts Xxxx Xxxxxx 6/1/1988 30.9 12 Xxxxx Xxxxxxxxxx 6/16/1988 30.9 12 XxXxxx Xxxxx 7/1/1994 24.8 12 Xxxx Xxxxxxxx 6/1/1996 22.9 12 Xxx Xxxxxxx 9/1/1998 20.6 12 Xxx Xxxxxxx 8/16/1999 19.7 12 Xxxxx Xxxxxx 11/1/2000 18.5 12 Xxxxxx Xxxxx 11/1/2000 18.5 12 Xxxxxx Xxxxxx 11/1/2000 18.5 12 Xxxx Xxxxxxx 8/8/2002 16.7 12 Xxx Xxxxxx 1/1/2003 16.3 12 Xxxxx Xxxxxxxxxxx 5/1/2003 16.0 10 Xxxxx Xxxxxx 1/1/2005 14.3 10 Xxx Xxxxxxx 5/1/2006 13.0 10 Xxxxx Xxxxxx 5/1/2006 13.0 10 Xxxx Xxxxxxxxxx 5/1/2006 13.0 10 Xxxxx Xxxx 9/15/2007 11.6 9 Xxxxxx Xxxxxxxxx 6/16/2008 10.9 9 Xxxx Xxxxxxxxx 8/17/2008 10.7 9 Xxxxxxx Xxxxxxxxxx 10/1/2008 10.6 9 Xxxx Xxxxxxxxx 8/15/2010 8.7 9 Xxxxx Xxxxxxxx 1/1/2012 7.3 7 Xxxxxx Xxxxxx 4/15/2013 6.0 7 Xxxxx Xxxxxxx 5/1/2013 6.0 7 Xxxx Xxx Xxxx 8/1/2013 5.7 7 Xxxxx Xxxxx 5/1/2014 5.0 7 Xxxxx Xxxxx 5/1/2014 5.0 7 Xxxxx Xxxxxxxx 3/16/2018 1.1 5 Xxxxxx Xxxxx 3/16/2018 1.1 5 Xxxxx Xxxxxx 3/16/2018 1.1 5 Xxxxxxxx Xxxxxxxxxx 3/16/2018 1.1 5 Article 2 Captain Promotional Dates: Name: Date of Promotion: Xxxxx Xxxxxxxxxx 5/1/2000 Xxxx Xxxxxxxx 10/1/2001 Xxxx Xxxxxx 3/1/2005 Xxx Xxxxxxx 1/1/2006 Xxxxxx Xxxxxx 4/15/2008 Xxx Xxxxxxx 8/7/2008 Xxx Xxxxxx 7/16/2010 Xxxxx Xxxxxxxxxxx 4/1/2011 Xxxxx Xxxxxx 8/06/2013 Xxxxx Xxxxxx 1/1/2014 Xxxx Xxxxxxxxxx 5/15/2014 Xxxxx Xxxxxx 10/01/2015 Xxxxxxx Xxxxxxxxxx 3/1/2018 Xxxx Xxxxxxxxx 12/1/2018 Article 3 Battalion Chief Promotional Dates: Name: Date of Promotion: Xxxx Xxxxxxxxxx 3/15/2013 Xxx Xxxxxxx 5/15/2014 Xxx Xxxxxxx 10/01/2015 (EXHIBIT I)

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name of Employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnelvly\D&A.tst

Conflict with Other Laws. This Article is in no way intended to supersede or waive any constitutional or other rights that the employee may be entitled to under Federal, State or local statutes. APPROVED: XXXX VALLEY FIRE SERVICE Dated: By: APPROVED: XXXX VALLEY FIREFIGHTERS ASSOCIATION, IAFF, Local 1775 Dated: By: Xxxxxxx Xxxxxx President CONSENT AND RELEASE FORM FOR DRUG/ALCOHOL TEST PROGRAM I acknowledge that I have received a copy of, have been duly informed, and understand the Fire Department's drug and alcohol testing policy and procedures. I have been provided with information concerning the impact of the use of alcohol and drugs on job performance. In addition, I have been informed on how the tests are conducted, what the test can determine and the consequence of testing positive for drug use. I have been informed of the Fire Department's Employee Assistance Program. I understand that if I voluntarily come forward and ask for assistance to deal with a drug or alcohol problem through the Employee Assistance Program, that I will not be disciplined by the Employer. I understand how drug/alcohol tests are collected and further understand that these are medical tests that are conducted under the auspices of a Medical Review Physician. I understand that the Medical Review Physician will review and interpret any positive test results, and that I will have an opportunity to be interviewed by the Medical Review Physician to review my status, my medical history and any relevant biomedical factors prior to the Fire Department being informed whether I passed or failed the test. I understand that a confirmed positive drug or alcohol test result will result in my referral to the Fire Department Employee Assistance Program and that I will be required to complete a rehabilitation program. No disciplinary action will be taken against me unless I refuse to take a drug/alcohol test, refuse the opportunity for rehabilitation, fail to complete a rehabilitation program successfully, or again test positive for drugs/alcohol within two (2) years of completing an appropriate rehabilitation program. I understand that such disciplinary action, as described herein, may include dismissal from the Fire Department. Printed or Typed Name of Employee Signature of Employee Date C:\wp51\xxxx-vly\D&A.tst XXXX VALLEY FIRE DEPARTMENT - MANUAL OF OPERATIONS (Exhibit H) TITLE: II. Personnel SECTION NO: II-5-1.00 CHAPTER: 3. Seniority List – Regular Personnel