Drug Free Affidavit.pdf

PDF 190 KB Posted

Attached to
Mercer County HDQs Roof Replacement
Solicitation number
CRFQ-0803-DOT2600000017-3
Issued by
Mingo County, West Virginia

About this file

The document contains two forms from the State of West Virginia Purchasing Division related to drug-free workplace compliance: a Certified Drug-Free Workplace Report Coversheel (WV-72) and a Drug Free Workplace Conformance Affidavit (WV-73). These forms are designed to ensure contractors comply with West Virginia Code §21-1D-5 and §21-1D-7b, which mandate drug-free workplace policies for state contracts. The forms require vendors to provide detailed information about their drug-free workplace practices, including education and training services, drug testing procedures, and laboratory certification.

The first form (WV-72) instructs vendors to submit a report to the West Virginia Purchasing Division for contracts over $25,000, detailing their drug-free workplace compliance. The report must include information on education and training services, laboratory certification, employee numbers, and drug test results across categories like pre-employment, reasonable suspicion, post-accident, and random testing. The second form (WV-73) is an affidavit where an employee swears under penalty of perjury that their company maintains a written drug-free workplace policy in compliance with state code. Both documents are part of the state's effort to ensure workplace safety and drug-free environments for public contracts.

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