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DOT Drug/Alcohol History Check Applicant Authorization to Release DOT Drug/Alcohol Test Results SECTION 1: TO BE COMPLETED BY APPLICANT/Employee: Company Name: ENHANCED FIELD SERVICES INC I understand
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Begin by providing accurate personal information, including your name, date of birth, and contact details.
02
Next, disclose any prescription medications you are currently taking and provide the dosage information.
03
Then, indicate if you have any known allergies or adverse reactions to specific drugs or substances.
04
Describe any previous drug or alcohol abuse or addiction, including the substances involved and the duration of use.
05
Specify any existing or past treatment programs or rehabilitation efforts you have undergone.
06
If you have a history of mental health issues, mention any related medications or therapies received.
07
Be honest about any legal issues or consequences resulting from substance abuse.
08
Lastly, sign and date the document to indicate your understanding and agreement with the information provided.

Who needs drug and alcohol history?

01
Medical professionals may require drug and alcohol history to properly diagnose and treat various health conditions.
02
Employers often request drug and alcohol history when hiring individuals for safety-sensitive positions or jobs that involve the use of heavy machinery.
03
Law enforcement agencies might request drug and alcohol history in certain legal situations, such as driving under the influence (DUI) cases or during probationary periods after substance-related offenses.
Remember, it is essential to provide accurate and complete information regarding your drug and alcohol history to ensure proper care, safety, and compliance with legal requirements.
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Drug and alcohol history refers to a record of an individual's past drug and alcohol use, including any treatments or instances of substance abuse.
Individuals who are applying for certain jobs or licenses may be required to file drug and alcohol history.
Drug and alcohol history can typically be filled out on a form provided by the employer or organization requesting the information. It may involve detailing past drug and alcohol use, treatments, and any instances of substance abuse.
The purpose of drug and alcohol history is to assess an individual's past substance use and determine their suitability for a particular job or license.
Information that must be reported on drug and alcohol history may include past drug and alcohol use, treatments received, and any instances of substance abuse.
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