Consent for drug test and alcohol test Avis Rent A Car System, LLC. or any of its subsidiaries (hereinafter, the "Company"), requires successful completion of a urinalysis drug test for Marijuana, Cocaine, Opiates, Phencyclidine (PCP) and Amphetamines as part of its pre-employment screening process. All positive drug test results are reviewed by a Medical Review Officer to insure that any legally used over-the-counter medications or legally prescribed drugs were not a contributing factor. Drug tests are conducted for the Company by an outside, professional laboratory using a EMIT screening methodology and all positive screening tests are confirmed by use of GCIMS methodology and all DOT guidelines (49 CFR Part 40) will be followed whenever possible within the State guidelines. For DOT regulated positions, an alcohol test is also part of the pre-employment screening process. If any alcohol testing is conducted, all screening tests will be conducted with an evidentiary methodology (breathalyzer instrument) and all positive screening tests will be confirmed by an evidentiary breathalyzer instrument and all DOT guidelines (49 CFR Part 40) will be followed whenever possible within the State guidelines.Because we are required to notify applicants! employees of our intent to conduct urinalysis drug testing and alcohol testing, we ask that you sign and date this notice.In connection with my application for employment, I consent to a breath or urine sample collection and testing to determine die presence or use of drugs or other controlled substances, and for DOT positions. the presence of alcohol. If hired, at any time during my employment, I understand that the Company may request a sample collection and testing to determine the presence of alcohol, drugs, or controlled substances. I authorize any physician, medical facility, or other agents retained by the Company to collect samples as required and to provide test results and evaluations to the Company. I also understand that if I receive a positive test result, refuse to submit to a test or do not provide a specimen that I will be ineligible for employment with the Company and, if currently employed, that I may be subject to termination.YOUR APPLICATION WILL BE CONSIDERED INCOMPLETE IF THIS CONSENT IS NOT SIGNED AND DATED.Email* Date MM slash DD slash YYYY Location Applying to:Anchorage AirportAnchorage DowntownAnchorage Main OfficeFairbanksJuneau AirportJuneau DowntownKodiakKenaiSitkaEmployee/Applicant SignatureEmployee/Applicant Printed NameCommentsThis field is for validation purposes and should be left unchanged.