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Form Instructions 843 for Palmdale California: What You Should Know

V) All persons who perform work for any employment agency of Quest Diagnostics, Inc., including but not limited to: Employer(s) All employees or employees who perform personal services for any employer which includes the performance of employment related services. Any employee or employee who performs employment related services. Any contract worker in whom Quest Diagnostics Inc. has an interest. All agents or agents who perform employment related services are hereby declared to be employees. 2. It is the responsibility of the employee to request an a priori test and submit the completed form to Quest Diagnostics for drug testing prior to beginning any work with that employer. It is the employee's and the employee's individual employer's responsibility to test and provide a urine sample for a pre-employment drug screening. If a sample testing is not requested. Or completed within thirty (30) working days of employment it is the responsibility of the former employer and Quest Diagnostics Inc to obtain, test, and then comply with and enforce the requirements of the Employee Medical Records (Form 1367) and any other requirements of the UAC. Quest Diagnostics does not have a pre-employment drug testing policy. Please make sure you have the completed form as described in item 1. 3. Please forward this form to your Human Resources Officer. In the event you are a new employee and have questions, please contact us at or email HumanResourcesQuestDiagnostics.com. NOTE: The employee should request an urinalysis test to ensure they are under the “use or misuse or drug” rules and are drug free.

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