§ 32.69 FORMS.
   (A)   Employee acknowledgment form.
 
   EMPLOYEE ACKNOWLEDGMENT
I have carefully and thoroughly read the CITY OF GAS CITY’s drug and alcohol policy packet information for Commercial Driver’s License (CDL).
Date: ________________
____________________________
Employee Signature
 
   (B)   Drug alcohol addendum.
 
DRUG ALCOHOL ADDENDUM
All employees of the CITY OF GAS CITY who test positive for drug/alcohol tests which include pre-employment, probable cause, random, and post accident will pay for the tests, including (G.C.M.S.) Confirmation Tests.
All employees who request split specimens to be forwarded to another lab will pay for cost.
Cost of the tests will be withheld from employees’ paycheck effective next paycheck. The CITY OF GAS CITY will pay for all negative drug/alcohol tests.
CITY OF GAS CITY
 
By ____________________
Dated: _______________________
______________________
Employee Signature
Dated: _______________________
 
(Ord. 2, 1996, passed 3-19-1996)