Drug Free Affidavit.pdf

The documents are two forms related to the State of West Virginia's drug-free workplace requirements, specifically the Certified Drug-Free Workplace Report Covershee (WV-72) and the Drug Free Workplace Conformance Affidavit (WV-73). These forms are mandated by West Virginia Code §21-1D-5 and §21-1D-7b, which require contractors to provide annual certified reports demonstrating compliance with drug-free workplace policies for contracts with public authorities.

The first document (WV-72) is a covershee that contractors must complete and submit, detailing information such as the contract identification, contract number, purpose, and agency requesting work. The form requires vendors to provide a report including specifics about drug testing and workplace education, such as information on education services, laboratory certification, employee numbers, and drug test results across categories like pre-employment, reasonable suspicion, post-accident, and random testing. The second document (WV-73) is an affidavit that must be sworn under penalty of perjury, where an employee attests that their company maintains a written drug-free workplace policy in compliance with state regulations and requires signature, notarization, and official documentation.