The Acknowledgment of Employer’s Drug and Alcohol Coverage is a proper doc that outlines an worker’s understanding and settlement to stick to the corporate’s insurance policies relating to drug and alcohol use within the office.
This acknowledgment ensures a transparent understanding of the coverage’s expectations and penalties.
Customise this template to align along with your group’s particular insurance policies and procedures.
Acknowledgment of Employer’s Drug and Alcohol Coverage Template:
Worker Info:
– Worker Title: [Employee’s full name]
– Worker ID: [Employee’s identification number]
– Place/Title: [Employee’s job title]
– Date of Acknowledgment: [Date of signing the acknowledgment]
Coverage Acknowledgment:
I, [Employee’s Name], acknowledge that I’ve obtained, learn, and understood the Employer’s Drug and Alcohol Coverage as outlined within the worker handbook. I agree to stick to the phrases and tips set forth within the coverage whereas employed by [Company Name].
Coverage Highlights:
- Prohibited Substances: I perceive that the use, possession, sale, or distribution of unlawful medicine, managed substances, or alcohol is strictly prohibited on firm premises, throughout work hours, or whereas representing the corporate.
- Impairment: I’m conscious that coming to work below the affect of medication or alcohol is prohibited and poses a danger to my security, the protection of my colleagues, and the standard of my work.
- Prescription Medicines: I acknowledge that if I’m utilizing prescription medicines that will impair my capacity to carry out my job safely, I’m answerable for notifying my supervisor and HR division.
- Testing and Searches: I perceive that the corporate could conduct drug and alcohol testing as required by legislation or in accordance with firm coverage. I conform to adjust to such testing when requested.
- Penalties: I’m conscious that violation of the Drug and Alcohol Coverage could lead to disciplinary motion, as much as and together with termination of employment.
- Confidentiality: I perceive that any info associated to drug and alcohol testing and coverage violations will likely be handled confidentially.
Worker Signature:
By signing under, I acknowledge that I’ve learn and understood the contents of the Employer’s Drug and Alcohol Coverage and conform to adjust to its phrases.
Signature: _________________________
Date: ____________________________
Firm Consultant’s Signature:
I acknowledge that the above worker has obtained and understood the Employer’s Drug and Alcohol Coverage.
Signature: _________________________
Date: ____________________________
The Acknowledgment of Employer’s Drug and Alcohol Coverage Template supplies a proper document of an worker’s understanding and settlement to stick to the corporate’s insurance policies.
By using this template, organizations can promote a protected and productive work setting whereas sustaining readability on expectations and penalties associated to drug and alcohol use within the office.
Customise the template to align along with your firm’s insurance policies and guarantee compliance with related legal guidelines and rules.
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