DrugFreeAff.pdf

This is a Drug Free Workplace Conformance Affidavit form issued by the State of West Virginia under West Virginia Code 21-1D-5, effective April 30, 2020. The affidavit serves as a compliance document required for state and local contract opportunities in West Virginia. The form requires an authorized employee of a contracting company to attest under oath that the company maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit must be completed with the employee's printed name, signature, title, company name, and date, and requires notarization by a West Virginia notary public with an active commission.

This document functions as a mandatory certification requirement for contractors seeking to do business with West Virginia state and local government entities. No specific pricing, set-asides, funding amounts, or contract terms are detailed within the affidavit itself, as it is solely a compliance verification form. The affidavit demonstrates that the contracting company has established and maintains policies addressing workplace drug prevention, which is a prerequisite condition for contract eligibility in West Virginia government procurement.