Drug_Free_Workplace_Certification-FILLABLE.pdf
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- Solicitation number
- 2025-06
- Issued by
- Manatee County, Florida
About this file
This document is a Drug-free Workplace Certification form designed to establish and verify a company's commitment to maintaining a drug-free workplace environment. The certification requires the contractor to implement a comprehensive drug-free workplace program that includes publishing a statement prohibiting controlled substance activities, informing employees about drug abuse dangers and workplace policies, and providing each employee engaged in the contract with a copy of the drug-free workplace statement.
The certification outlines six specific requirements, including notifying employees about prohibited drug-related activities, explaining potential penalties and available assistance programs, and mandating that employees report any drug-related convictions within five days. The contractor must also impose sanctions or require participation in drug abuse assistance programs for employees convicted of drug violations. The form provides space for the contractor's authorized official to sign, certifying full compliance with these requirements, and serves as a formal commitment to maintaining a safe and drug-free work environment as a condition of contract participation.
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Text version
Drug-free Workplace Certification
I hereby swear or affirm that this company has established a drug-free workplace program by completing the following requirements:
1) Published a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.
2) Informed employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.
3) Given each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1).
4) In the statement specified in subsection (1), notified the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the work place no later than five (5) days after such conviction.
5) Imposed a sanction on or required the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee’s community, by any employee who is so convicted.
6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
Signature of Contractor’s Authorized Official
Name and Title of Contractor’s Authorized Official
Date
| Name and Title of Contractors Authorized Official: |
| Date: |
File details come from the government source that posted it. Updated .