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e nc t..norelam,, ,..115c..O cupiea -f the test results to the co.—pumte Medical Review Officer (MRO) chosen by
<br />rirstaervice Kes:deatim. Aet-t [jai ,—tts n u ,-.o[ Be -,t to r:.,tbc Residential except as otherwise provided in
<br />ule rolicy.
<br />If my tests show evidence of impermissible alconot or iliegai Mg use, ire ivtKv n.rea oy r: -.taerricc
<br />Residential will ;ekp-hone me at the number I listed on the Chain of Custody form to offer me an opportunity promptty to
<br />r...-,ac i,-.ro—t:on to the MRO that the test results are consistent with legal drub use or a legitimate reason why the
<br />»ievnvi tczt melts ...-c t . ita:c.
<br />tf my iaooratory resul6 snow evitlenee or eloo[lvt v.- U. »s me w-A t U. -,vt, rom.1m, pre :ae :.iomreion to the
<br />MRD that the test results are consistent wi[[1 legal drug use or a legitimate rea..v : ssn, Ma »ivenci test .Cults po,iti-e,
<br />the MRO will tell FirSLService Residendal that the test results were positive.
<br />tr iii.-i...nolidrub test is ,,ositive. I may have the original urine, hair and/or blood specimen retested at a
<br />erort1.00 cnpc._-v, "-_ long -5 the in[egrky of the original specimen is not compromised.
<br />it ute mooratory lino no evitlence of alevnvl yr Illas..l amr, =ae :. m, [cuts vT i u,tatmisn for the MRO that my
<br />results are consistent wile legai iirug use anO pelmissinie alconor use_ i wiu n.-.m rm=ll Ma tests.
<br />The MRO will inform FirstService Residential's Human Resources ,Jepat1 hent wnewr ute test results were
<br />Vi- _Sitl�C.
<br />mcuicat inlv......t:vn an$ tat . `.,alts r• v„dcd z-- ..rt of Gic arab Icstinb process will be maintained by the MRO
<br />in cont uence ana will ue DIscioset7 in accord-zaa Witt tilt: l« :. rvz;t:.v v.- . rgut:-v t—t rv-ults will be disclosed to
<br />Firs&Scrvice Residential personnel anti otter individuals wno nave a reasoname or les6lilr»te "noca tv Itnon' o.- nncrc
<br />permitted by law. If, however, I directly or indueciiy initiate a iegai proceeaing involving rirstservicc Re,.;tle,-,[:..t
<br />which such records are relevant, -they will be disclosed to the extent permitted by law.
<br />f 01 tn:., Ab...mnt i., not a contract of employe„ent and without prejudice to FirstService
<br />Kesiaen[im's rolicy ai r1cTJ_"t »t -I1.
<br />If I fail the drug and/or alconol tests, regardless of wnen or wfzere Me suostnnvu ,tcrbu m, ,�te.—., tam,-r ,.:ani
<br />the collection process, or refuse to consent to cooperate by signing alis form, or tail to suemit to [Re lest at Ulu 1:,,.e ».,a
<br />`lace scheduled by FirstService Residential, i-I may result in corrective action, up to ant inetuoing termination. f
<br />mo.i,ura tn..t it t 1pt p-.11ti: c -r,a 1 am not hired or I am terminated as a result of the positive iesq I will not apply for
<br />cln,aiv,...e..[ �:[II rs-llz-ive Kz��ac�.L-1 tar -t lc.-; 1 l36 clays. I further understand I will be required to have a negaiive
<br />test result Before f will cc t� return tv :om-
<br />1 hereby authorize the medical anffor specimen collection facility to aiseiese -11 rent .Wn1 M. ie,.t :-.lv....AW .
<br />and all laboratory results to a Medical Review Officer i"MRO" hired or retained By rirsiwervice Kesiuentiai. i ne
<br />release by the medical and/or specimen collection facility of the information and results, and the utilization of the
<br />rc. -zie n, amu MRO shall be for a limited pt,yo$e of providing FirstService Residential anopportunity to
<br />c �I�..te fife re�stlS W :a InettiD.7 avte. inc Rnctnc. l aiii l : to perform my job or the job for which I am considered.
<br />i also auutorize ine lvtKiu to Disclose Elie test .-esuits to r irst 1e...'ee KeaiDzrtLi's i i,....,... K.—a ucpartme.t.
<br />The release by the MRO of lest results and the utilization of [hese results By rirstaervice KesAe.-.t::l sn»u Dc ive lF�
<br />limited purpose of providing FirstService Residential an opportunity to evaluate the results anu Mereoy aetermine
<br />wh.ther 1-m fig to perform my job or the job for which I am considered.
<br />i also vowntarby r, ce to»t all :..ivrnetio . m, drug tmt :pets may be released by FirstService
<br />residential, its Pleaicai Keview Uiticer (mttv), em.pio ru .«,3i:t...:cv r�sre-, i;.noratu.r _a tn..:. -bunts in any
<br />administrative, civil or oMer legal proceeuing to file court or app.-o.ri_t_ n....:enb vtie�., «a;�a:e..t:e : or t»ct Geacr :.-.
<br />which [ am a party which relates to my employment and in witch Me results of my t114g test are rclovani.
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