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CITY OF LINO LAKES <br />DRUG AND ALCOHOL TESTING <br />NOTIFICATION FORM <br />The undersigned employee/applicant acknowledges receiving a copy of, reading and <br />understanding the City of Lino Lakes Policy on Drug and Alcohol Testing. <br />The undersigned employee/applicant should list below all the over-the-counter or <br />prescription medications that are currently being taken, or have been taken, or any other <br />information relevant to the reliability of, or explanation for, a positive drug or alcohol <br />test result. <br />Signature Witness <br />Date <br />