ACKNOWLEDGEMENT OF RECEIPT OF DRUG/ALCOHOL POLICY

This is to acknowledge that I have received a copy of PHK CPA's Drug/Alcohol Policy. I understand that, as a condition of my employment, I may not ...

I understand that, from time to time, I may be requested to take drug/alcohol tests in accordance with the provisions of the Policy. I specifically agree to take ...

By accepting and/or continuing my employment with PHK CPA, I agree to be bound by all provisions of its Drug/Alcohol Policy, including ...

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Signature of Applicant/Employee

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Print Name of Employee/Applicant

Date:  _____________________

Witness: ___________________