I have applied for employment with Comfort Central Inc. and as a condition
application being considered, I understand and agree to undergo substance
I understand that if my test results are positive, I shall not be considered
Comfort Central Inc. I also understand that (1)the company has a drug
policy that provides for pre-employment testing as well as testing after
(2) Consent to and compliance with such policy is a condition of my
employment; and (3)continued employment is based on the successful passing
of testing under such policy.
I hereby authorize any physician, laboratory, hospital or medical professional
retained by Comfort Central Inc., and I release Comfort entral Inc.
and any person affiliated
with COmfort Central Inc. and any such institution or person conducting
the screening from liability therefore.
Applicant's printed name:___________________________________
Note:After reading and accepting the conditions in this form, please
sign, print your name, date and bring with you to the interview.
I Agree to the conditions for employment
I do not Agree to the conditions for employment