New Employee Orientation Packet: Non-Instructional LOA - Western ...

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ACKNOWLEDGMENTI, hereby certify that I have received a copy of theState's policy regarding the maintenance of an alcohol/drug free workplace and Iacknowledge this policy as a condition of employment with the State of Nevada._________________________________Department_____________________________Division_________________________________Name (Print)_____________________________Date________________________________SignatureWitness' Signature (Required if employee refuses to sign)Acknowledging the employee received the alcohol/drugfreeworkplace policy and employee refuses to sign.Title of WitnessTS-587/98N:\WPDOCS\FRM\TSfrms\TS-58-Aloc-DrugStmt.doc