Summary

This document consists of two West Virginia State Purchasing Division forms related to certified drug-free workplace requirements for state and local contractors. The first form (WV-72, approved August 1, 2015) is a Certified Drug-Free Workplace Report Coversheet that contractors must complete and submit to report compliance with West Virginia Code § 21-1D-7b. Contractors are required to submit this report no less than once per year or upon project completion. For contracts exceeding $25,000, the report must be mailed to the West Virginia Purchasing Division at 2019 Washington Street East, Charleston, WV 25305; for contracts of $25,000 or less, the report goes to the issuing public authority. The second form (WV-73, approved April 30, 2020) is a Drug Free Workplace Conformance Affidavit under West Virginia Code §21-1D-5, which requires an employee to attest under oath that their employer maintains a written drug-free workplace policy compliant with state law.

The Required Report Content section specifies that contractors must provide education and training information regarding West Virginia Code § 21-1D-5 requirements, identify the laboratory certified by the United States Department of Health and Human Services performing drug tests, report the average number of employees involved in construction, and submit drug test results categorized by pre-employment and new hires, reasonable suspicion, post-accident, and random testing—including the number of positive and negative tests in each category. The Affidavit form requires notarization and must include the printed name, signature, title, company name, and date of the attesting employee, along with notary public certification and commission expiration information.