Drug Policy Acknowledgement Form
Please review and acknowledge your understanding of the organization's drug policy.
Employee Full Name
*
First Name
Last Name
Employee ID Number
*
Department
*
Please Select
Human Resources
Operations
Finance
IT
Sales
Marketing
Other
Position/Title
*
Supervisor Name
First Name
Last Name
Work Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Acknowledgement
*
-
Month
-
Day
Year
Date
Summary of Drug Policy: Our organization maintains a strict policy prohibiting the use, possession, distribution, or being under the influence of illegal drugs or alcohol during work hours or on company premises. Please review the full policy provided by your supervisor or HR department.
Employee Signature
*
Acknowledge and Submit
Acknowledge and Submit
Should be Empty: