DRUG FREE AFFIDAVIT.pdf

This is a Drug Free Workplace Conformance Affidavit form issued by the State of West Virginia in compliance with West Virginia Code 21-1D-5. The document serves as an attestation form that must be completed by an employee of a bidding or contracting company to confirm the company's commitment to maintaining a drug-free workplace. The affidavit requires the signatory to verify that their employer maintains a written drug-free workplace policy that complies with West Virginia Code 21-1D. The form requires standard sworn statement elements, including the employee's printed name, signature, title, company name, and date of execution, and must be notarized with the notary public's seal, commission expiration date, printed name, title, and date.

This affidavit form is a mandatory compliance document for state and local contracting opportunities in West Virginia. Companies seeking to bid on or contract with state and local agencies must submit a completed and notarized Drug Free Workplace Conformance Affidavit to demonstrate their adherence to drug-free workplace requirements established under state law. The form was approved and last revised on July 7, 2017, and serves as evidence that the company has implemented and maintains written policies addressing drug-free workplace standards as a condition of contract eligibility.