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©National Compliance Management Service (NCMS): NCMS Model - Revised June 2021 14 <br />ATTACHMENT 1 <br />Acknowledgement of drug and alcohol contraband policy receipt <br />I hereby acknowledge that I have been provided a copy of the Sabre Demolition Corporation <br />drug/alcohol policy requirements. I understand that disciplinary action up to and including <br />termination, will result if I violate this policy. <br />I also hereby authorize and consent to disclosure by Sabre Demolition Corporation and its <br />agents, including, but not limited to, any collecting and testing agencies, of the drug and <br />alcohol test results and any related information to customers of Sabre Demolition Corporation <br />and its authorized agents, assigns, or representatives. <br /> <br />Employee Signature Date <br />Employee Printed Name <br />*** This consent form is for release of NON-DOT tests. Please follow DOT regulations if you choose to submit DOT test <br />results in place of non-dot in order to meet the requirements of a specific client***