I hereby consent to submit to urinalysis and/or other tests as shall be determined by E & T Contracting in the selection process of applicants for employment, for the purpose of determining the drug content thereof.
I agree that WorkPlace Solutions/621 Old Hickory Blvd. Ste G, Jackson, TN may collect these specimens for these tests and may test them or forward them to a certified testing laboratory designated by the company for analysis.
I further agree to and hereby authorize the release of the results of said tests to E & T Contracting and their MRO (Medical Review Officer).
I further agree to hold harmless the said laboratory and MRO and its agents from any liability arising in whole or part out of the collection of specimens for testing.
I have carefully read the foregoing and fully understand the contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document.