Employment & HR

Drug-Free Workplace Policy Acknowledgment

Employee acknowledgment of receipt, review, and agreement to comply with the company's Drug-Free Workplace Policy, including prohibitions on controlled substances and alcohol, and consent to applicable testing programs.

📄 1 signer📅 30-day expiry🏷 Employment & HR🔖 single-signer, policy, employment, drug-free, substance-abuse, compliance

About this template

The Drug-Free Workplace Policy Acknowledgment is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 1 signer (employee) and, by default, expires 30 days after it is sent if left unsigned. It covers policy, employment, drug free, substance abuse, compliance. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Drug-Free Workplace Policy Acknowledgment **Acknowledgment Date:** ___________ ## Company Information **Company Name:** ___________ ("Company") **Policy Version / Effective Date:** ___________ ## Employee Information **Employee Name:** ___________ **Employee ID:** ___________ **Department:** ___________ **Job Title:** ___________ **Safety-Sensitive Position:** ___________ --- ## Drug-Free Workplace Policy — Summary ### 1. Purpose and Legal Basis The Company is committed to providing a safe, healthy, and productive workplace. This policy is adopted to: (a) comply with the Drug-Free Workplace Act of 1988 (41 U.S.C. §§ 8101–8106), where applicable to federal contractors and grantees; (b) promote employee health and safety; and (c) protect Company assets, clients, and the public. Nothing in this policy supersedes applicable state or local law, including state medical or recreational marijuana statutes, to the extent required by law. ### 2. Scope This policy applies to all employees — full-time, part-time, temporary, and contract — on Company premises, in Company vehicles, at client sites, during business travel, and at any Company-sponsored event where the employee represents the Company. ### 3. Prohibited Conduct The following are strictly prohibited: (a) **Reporting to work under the influence** of alcohol, illegal drugs, or any controlled substance that impairs the employee's ability to safely and effectively perform job duties;

Fields (15)

acknowledgment date
date · required
company name
text · required
policy version
text · required
employee name
text · required
employee id
text
department
text · required
job title
text · required
safety sensitive
select · required
marijuana policy
select · required
testing scope
select · required
eap available
select · required
governing state
select · required
delivery format
select · required
additional notes
textarea
employee signer name
text · required

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