Series 406.3.5.1P - Pre-test Acknowledgement Form for Employees Not Performing Duties Requiring a Commercial Driver's License
Adopted: February 2015
I, the undersigned employee of Independent School District 196, do hereby acknowledge that I have been provided a copy of:
- Policy 406, Section 3, Chemical-Free Workplace; and
- Administrative Regulation 406.3.5AR, Alcohol and Drug Testing of Employees Not Performing Duties Requiring a Commercial Driver’s License (CDL).
Signature of employee ________________________________________
Typed or printed name of employee ______________________________
Employee number ___________________