I, the undersigned hereby knowingly and voluntarily authorize and consent to the collection and testing of specimens of my urine by a collection site and laboratory to be designated by the Company for the purpose of drug testing.

I authorize the collection site, laboratory and medical review officer (MRO) to disclose the results of my drug test to the Company.  I acknowledge that the drug test results will be utilized by the Company to determine my eligibility for employment or continued employment, therewith.

I acknowledge that at the time of collection, a refusal to authorized the collection and testing of my urine by the collection site and laboratory, or a refusal to authorize the above disclosure of the test results will be treated as a positive  drug test.  I further acknowledge that a positive drug test will result in disciplinary action up to and including denial of employment or termination, if hired.

In addition, I hereby knowingly and voluntarily release the Company and its subsidiaries, the collection site, the testing laboratory and their respective officers, directors, employees and agents from any and all claims, damages, losses, liabilities, costs and expenses, including attorney fees, arising from or relating to such collection and testing and any disclosure of the results thereof, including without limitation, the disclosure of any inaccurate or incomplete results to the fullest extent permitted by law.

I further authorize the testing laboratory to disclose the results of my drug screen to the Company for a period of time not to exceed two years from the date of my signature below.

I acknowledge that I have the right to receive a copy of this authorization.

I have read and understood the above policy, authorization & consent in its entirety, and I agree that a copy of this document is as valid as the original.