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CITY OF BATESVILLE <br /> ® 500 EAST MAIN <br /> BATESVILLE, ARKANSAS 72501 <br /> Phone 870-698-2400 <br /> Fax 870-698-2406 <br /> TRAINING ATTENDANCE CERTIFICATION <br /> In accordance with my Employer's Drug and Alcohol Free Workplace Policy, I herein <br /> acknowledge that I have received training and understand my obligations. <br /> I understand that the use or possession of alcohol in any form is prohibited in the <br /> workplace, and that there are restrictions on alcohol use for a period prior to reporting for <br /> work and after an accident. <br /> I understand that the possession or use of unauthorized or illegal drugs is prohibited at <br /> any time whether in the workplace or not. <br /> As a condition of employment, I understand that I must submit to random testing for <br /> alcohol and drugs. I also understand that I may be subject to drug and alcohol testing in <br /> other circumstances, including, but not limited to, post accident and reasonable suspicion. <br /> Employee: <br /> Print Name Signature <br /> Social Security Number Date <br /> 1 <br /> 15 <br />