• I, the undersigned, hereby knowingly and voluntarily authorize and consent to the collection and testing of specimens of my urine, hair, breath, and/or blood by a collection site and laboratory to be designated by Robert B. Our Co., Inc. or its designated agent, Drug Testing America, Inc., for the purpose of drug and alcohol testing.

    I authorize the collection site, laboratory and medical review officer (MRO) to disclose the results of my drug and alcohol tests to Drug Testing America, Inc. and I further authorize Drug Testing America, Inc. to disclose the results to Robert B. Our Co., Inc. I acknowledge that the drug and alcohol test results will be utilized by Robert B. Our Co., Inc. to determine my eligibility for employment or continued employment, therewith.

    I acknowledge that at the time of collection, a refusal to authorize the collection and testing of my urine, hair, breath, and/or blood by the collection site and laboratory, or a refusal to authorize the above disclosure of the test results will be treated as a positive test. I further acknowledge that a positive drug and/or alcohol test will result in disciplinary action up to and including denial of employment or termination, if hired.

    In addition, I hereby knowingly and voluntarily release Robert B. Our Co., Inc., Drug Testing America, Inc., the collection site, the testing laboratory and their respective officers, directors, employees and agents from any and all claims, damages, losses, liabilities, costs and expenses, including attorney fees, arising from or relating to such collection and testing and any disclosure of the results thereof, including without limitation, the disclosure of any inaccurate or incomplete results, to the fullest extent permitted by law.

    I further authorize the testing laboratory to disclose the results of my drug and/or alcohol screen to Robert B. Our Co., Inc., or its agent, Drug Testing America, Inc. for a period not to exceed two years from the date of my signature below.

    I acknowledge that I have the right to receive a copy of this authorization.

    I have read and understood the above Authorization & Consent in its entirety, and I agree that a copy of this document is as valid as the original.

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