Drug Free Affidavit.pdf
PDF 190 KB Posted
- Attached to
- RFQ for HVAC Maintenance Beckley Regional Office
- Solicitation number
- CRFQ-0802-DMV2600000006-1
- Issued by
- Putnam County, West Virginia
About this file
Summary
These documents are State of West Virginia Purchasing Division forms establishing requirements for certified drug-free workplace reporting and compliance affidavits for state and local contracts. The first form (WV-72) is a Certified Drug-Free Workplace Report Coversheet, approved and revised on August 1, 2015, that serves as a template for contractors to submit annual drug-free workplace certification reports. Contractors on projects exceeding $25,000 must submit their reports to the West Virginia Purchasing Division at 2019 Washington Street East, Charleston, WV 25305, while contractors on projects of $25,000 or less submit reports to the issuing public authority. The second form (WV-73), a Drug Free Workplace Conformance Affidavit approved April 30, 2020, requires an authorized company representative to attest under oath that the contractor maintains a written drug-free workplace policy in compliance with West Virginia Code §21-1D and that employees have received required education and training on drug-free workplace requirements.
The required report content for WV-72 includes documentation of employee education and training services, identification of the certified laboratory performing drug tests, average number of employees on the construction project, and drug test results categorized by type (pre-employment and new hires, reasonable suspicion, post-accident, and random testing) showing both positive and negative test counts. The affidavit must be notarized and signed by an officer of the contractor company. These forms are mandatory compliance documents for all state and local contract opportunities in West Virginia and reflect the state's enforcement of drug-free workplace policies under West Virginia Code §21-1D-7b and §21-1D-5.
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