AUTHORIZATION FOR DRUG TESTING

I hereby authorize Mobile Quick Labs to collect and test specimen(s) for the presence of drugs and/or their metabolites. I understand that the results of this test will be released to the requesting party.

I understand that:

• The specimen will be tested for drugs including but not limited to marijuana, cocaine, opiates, amphetamines, and PCP.
• A positive result may have consequences including termination of employment or legal action.
• The testing process has been explained to me and I have had the opportunity to ask questions.
• I consent to the release of test results to the requesting party.