<html> <head> <title>Rule 55:05:05:05 Consent form.</title> <META NAME="Keywords" Content="Administrative Rules 55:05:05:05"> <META NAME="Description" Content="Administrative Rules 55:05:05:05 Consent form."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>55:05:05:05.&nbsp;&nbsp;Consent form.</b> If an employee is asked to submit to a drug screen, the employee shall sign a statement indicating consent to the collection of and analysis of a urine specimen taken from the employee for the purpose of a drug screen. When an employee signs the consent form, the employee acknowledges that the results of the screen will be made available to the commissioner and the appointing authority. The consent form contains the employee's name, social security number, and position number. The form must be signed by the employee and the appointing authority. If an employee is asked to submit to a drug screen more than once, a new consent form must be signed each time.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 17 SDR 25, effective August 19, 1990.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23-3-69">23-3-69(4).</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23-3-65">23-3-65.</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Cross-Reference:</b> Refusal of employee to submit to drug screen test, §&nbsp;55:05:07:02.</p> </div> </body> </html>