Valid Sample with a. Certified Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites.
Valid Sample with a. Certified Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. FOR THE EMPLOYER: FOR THE UNION: Xxxxxxx X. Xxxxx Date Director, Employee Services Xxxxx Xxxxxxx Date Business Manager, I.U.O.E. Local #70 Xxxx Xxxxxxx Date Business Representative, I.U.O.E. Local #00 Xxxxx Xxxxxxx Date Union Xxxxxxx Date Union Xxxxxxx Date Union Xxxxxxx Date CITY OF MINNEAPOLIS NOTIFICATION AND CONSENT FORM FOR DRUG AND ALCOHOL TESTING (REASONABLE SUSPICION) AND DATA PRACTICES ADVISORY I acknowledge that I have seen and read the City of Minneapolis Drug and Alcohol Testing LOA. I hereby consent to undergo drug and/or alcohol testing pursuant to said LOA, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in the LOA. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used ...
