Laserfiche WebLink
<br />. . <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />NOTICE OF DRUG OR ALCOHOL TEST RESULTS <br /> <br />EMPLOYEE NAME:. <br /> <br />DATE RECEIVED FROM TESTING ORGANIZATION: <br /> <br />CHECKS AS APPROPRIATE: <br /> <br />The results of your drug/alcohol test was NEGATIVE. <br /> <br />The results of your drug/alcohol test was POSITIVE. <br /> <br />RIGHTS OF EMPLOYEE OR JOB APPLICANT IF TEST RESULTS ARE POSITIVE: <br /> <br />1. The employee or job applicants has the right to request <br />and receive from the City of Mounds View a copy of the <br />test result report. <br /> <br />2. within three (3) working days after notice of a positive <br /> <br />test result, the employee or job <br />information to the City of Mounds <br />any submitted prior to a test, <br />result. <br /> <br />applicant may submit <br />View, in addition to <br />to explain the test <br /> <br />3. <br /> <br />within five (5) days after notice of a positive test, the <br />employee or job applicant may request a confirmatory re- <br />test of the original sample at the employee's or job <br />applicant's expense. within three (3) days after <br />receiving the employee;s or job applicants re-test <br />request, the City of Mounds View shall notify the testing <br />agency of the employee's or job applicant's request. The <br />employee or job applicant may request a different testing <br />agency licensed under Chapter 181 (Minnesota State <br />Statute). If the confirmatory re-test does not confirm <br />the original positive result, no adverse personnel action <br />based on the original confirmatory test may be taken <br />against the employee or job applicant. <br /> <br />I have received a copy of this completed document. <br /> <br />SIGNATURE: <br /> <br />DATE: <br />