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60 <br /> <br />2. The employee completes his/her voluntary Washington Recovery and Monitoring Program. <br /> <br />Section 16 City Responsibility <br />This drug and alcohol testing program was initiated at the request of the City. The City assumes the responsibility for <br />the administration of the Drug and Alcohol Testing Program. <br /> <br />Section 17 Consent for Sampling and Release of Information Form <br />CONSENT/RELEASE <br /> <br />Subject to my rights under Article 38 of the Collective Bargaining Agreement between Local 46 of the IAFF and <br />the City of Everett, I consent to the collection of a urine/blood, and/or breath sample by <br /> and its analysis by <br /> for alcohol and those drugs <br />specified in the Collective Bargaining Agreement. <br /> <br />Laboratory test results will be allowed to be released to the City only after the results have been reviewed and <br />interpreted by the Medical Review Officer. Information provided to the employer shall be only whether the tests <br />were confirmed positive or were negative and not any other results of the test without my written consent. The <br />laboratory is not authorized to release the results of this test to any other person or entity other than the City <br />without my written consent. <br />I understand I have the right to my complete test results and that the laboratory will preserve the sample for at <br />least six (6) months. I have the right to have this sample split and a portion retested at my expense in the event the <br />test results are confirmed positive. <br /> <br />I understand that the City is requiring me to submit to this test as a condition of my employment and that alteration <br />of the sample or failure to reasonably cooperate with the collection of a urine/blood and/or breath sample will <br />result in disciplinary action by the City. <br />I understand that a confirmed positive test may result in a requirement that I undergo rehabilitation. By <br />signing this consent form, I am not waiving any of my rights under any federal, state or local law, <br />statute, constitution, ordinance, administrative rule or regulation or common law provision. I understand that I <br />have the right to challenge any confirmed positive test result and any employer action based thereon by filing a <br />grievance under the Collective Bargaining Agreement. <br /> <br /> <br /> <br />Date Employee Signature <br />