DrugFreeAff.pdf

This is a Drug Free Workplace Conformance Affidavit issued by the State of West Virginia under West Virginia Code 21-1D-5. The document serves as a sworn statement form that employees must complete to attest that their employer maintains a written drug-free workplace policy in compliance with West Virginia Code 21-1D. The affidavit requires the employee to identify themselves, their employer company, and their job title, and must be notarized with the notary public's seal, signature, and commission expiration date. The form was approved on July 7, 2017, and includes fields for the date of attestation.

This affidavit is a mandatory compliance documentation requirement rather than a procurement document. It imposes no pricing terms, set-asides, or funding requirements. The document does not specify contract terms, renewal options, or performance periods. Contractors and vendors bidding on West Virginia state and local contracts are typically required to submit this affidavit as part of their proposal packages to demonstrate their organization's commitment to maintaining a drug-free workplace as a prerequisite for contract award eligibility.