EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE HEREBY NOTIFIED they are subject to the school district's drug and alcohol testing program for pre-employment drug testing and random, reasonable suspicion and post-accident drug and alcohol testing as outlined in the Drug and  Alcohol Testing Program policy, its supporting documents and the law.

Employees who operate school vehicles are subject to drug and alcohol testing if a commercial driver's license is  required to operate the school vehicle and the school vehicle transports sixteen or more persons including the  driver or the school vehicle weighs twenty-six thousand, one pounds or more. For purposes of the drug and  alcohol testing program, "employees" also includes applicants who have been offered a position to operate a  school vehicle. The employees operating a school vehicle are subject to the drug and alcohol testing program  beginning the first day they operate or are offered a position to operate a school vehicle and continue to be  subject to the drug and alcohol testing program.

It is the responsibility of the superintendent to inform employees of the drug and alcohol testing program requirements. Employees with questions regarding the drug and alcohol testing requirements will contact the school district contact person.

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED that employees violating this policy, its supporting documents or the law may be subject to discipline up to and including termination. 

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED that information related to drug or alcohol violations will be reported to the Federal Motor Carrier Safety Administration (FMCSA) Clearinghouse.

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER  NOTIFIED it is a condition of their continued employment to comply with the Drug and Alcohol Testing  Program policy, its supporting documents and the law. It is a condition of continued employment for employees  operating a school vehicle to notify their supervisor of any prescription medication they are using. Drug and  alcohol testing records about a driver are confidential and are released in accordance with this policy, its  supporting documents or the law.

NOTE: This form also assumes the school district will terminate the driver upon violation of this policy and its supporting documents. Should a school district, after careful consideration, choose to retain the option not to  terminate for violation of this policy, consideration should be given to changing the first and third paragraph to  read: 

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE HEREBY NOTIFIED they are subject to the school district's drug and alcohol testing program for pre-employment drug testing and random, reasonable suspicion, post-accident, return-to-duty, and follow-up drug and alcohol testing as outlined in the Drug and Alcohol Testing Program policy, its supporting documents and the law.

For school districts choosing to pay for the substance abuse evaluation and rehabilitation, if any:

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED  that employees violating this policy, its supporting documents or the law may be subject to discipline up to and including termination at the discretion of the school district. As a condition of continued employment,  employees violating this policy, its supporting documents or the law will be required to successfully participate  in a substance abuse evaluation and a substance abuse treatment program recommended by a substance abuse professional. Employees required to participate in and who fail to or refuse to successfully participate in a  substance abuse evaluation or recommended substance abuse treatment program may be subject to discipline  up to and including termination.

For school districts choosing to make the driver bear the personal and financial responsibility for the substance  abuse evaluation and rehabilitation, if any:

EMPLOYEES GOVERNED BY THE DRUG AND ALCOHOL TESTING POLICY ARE FURTHER NOTIFIED  that employees violating this policy, its supporting documents or the law may be subject to discipline up to and  including termination. As a condition of continued employment, employees violating this policy, its supporting  documents or the law bear the personal and financial responsibility, as a condition of continued employment, to successfully participate in a substance abuse evaluation and, a substance abuse treatment program  recommended by the substance abuse professional. Employees required to participate in and who fail to or  refuse to successfully participate in a substance abuse evaluation or recommended substance abuse treatment  program may be subject to discipline up to and including termination.

The format of this notice is not specifically required by the federal regulations. It is designed to provide a  starting point for school districts to develop their own form. However, the federal regulations do require the  drivers have notice of the drug and alcohol testing program. Under the federal regulations, school districts may  require their drivers to notify them of any prescription medications they are using. School districts which do not  want to be informed may delete this language from this notice.

 

 

 

I.C. Iowa Code                                      Description
 Iowa Code § 124                                                Controlled Substances
Iowa Code § 279.8                                            Directors - General Rules - Bonds of Employees
Iowa Code § 321.375                            Motor Vehicles - Bus Drivers
Iowa Code § 730.5                                            Drug-Free Workplaces

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                                Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                                             Public Health - Equal Opportunity - Disabilities
49 U.S.C. §§ 5331                                             Transportation - Testing /Controlled Substances

C.F.R. - Code of Federal Regulations     Description
49 C.F.R. Pt. 382                                               Transportation - Controlled Substances and Alcohol Use Testing
49 C.F.R. Pt. 390                                               Transportation - Federal Motor Carrier Safety Regulations
49 C.F.R. Pt. 40                                                Transportation - Drug and Alcohol Testing Procedures

Cross References:  403.05  Substance-Free Workplace
                                          403.05-R(1)  Substance-Free Workplace - Regulation
                                          403.05-E(1)  Substance-Free Workplace - Notice to Employees
                                          409.02  Employee Leaves of Absence   

Approved: 2/15/2016, 8/16/2021, 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

I, ( Name of Employee ), have received a copy, read and understand the Drug and Alcohol Testing Program policy of the North Tama County Community School District and its supporting documents. 

I understand that if I violate the Drug and Alcohol Testing Program policy, its supporting documents or the law, I may be subject to discipline up to and including termination.

I also understand that I must inform my supervisor of any prescription medication I use. 

In addition, I have received a copy of the U.S. DOT publication, “What Employees Need to Know about DOT Drug & Alcohol Testing,” and have read and understood its contents.

Furthermore, I know and understand that I am required to submit to a controlled substance (drug) test, the results of  which must be received by this employer before being employed by the school district and before being allowed to  perform a safety-sensitive function. I also understand that if the results of the pre-employment test are positive, that  I will not be considered further for employment with the school district. 

I further understand that drug and alcohol testing records and information about me are confidential, and may be released at my request or in accordance with the district’s drug and alcohol testing program policy, its supporting  documents or the law.

__________________________________________________                ________________________
(Signature of Employee)                                                                                                               (Date)

POLICY NOTE: Under federal regulations, school districts may require their drivers to notify them of any  prescription medications they are using. School districts which do not want to be informed may delete this  language from this notice.

This form assumes the school district will terminate the driver upon violation of this policy and its supporting  documents. Should a school district, after careful consideration, choose to retain the option not to terminate for  violation of this policy, consideration should be given to changing the second paragraph to read: 

I understand that if I violate the Drug and Alcohol Testing Program policy, its supporting documents or the law, I  may be subject to discipline up to and including termination or I may be required to successfully participate in a  substance abuse evaluation and a substance abuse treatment program, if recommended by the substance abuse  professional. If I am required to and fail to or refuse to successfully participate in a substance abuse evaluation or  recommended substance abuse treatment program, I understand I may be subject to discipline up to and including  termination.

 

 

I.C. Iowa Code                                      Description
 Iowa Code § 124                                                Controlled Substances
Iowa Code § 279.8                                            Directors - General Rules - Bonds of Employees
Iowa Code § 321.375                            Motor Vehicles - Bus Drivers
Iowa Code § 730.5                                            Drug-Free Workplaces

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                                Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                                             Public Health - Equal Opportunity - Disabilities
49 U.S.C. §§ 5331                                             Transportation - Testing /Controlled Substances

C.F.R. - Code of Federal Regulations     Description
49 C.F.R. Pt. 382                                               Transportation - Controlled Substances and Alcohol Use Testing
49 C.F.R. Pt. 390                                               Transportation - Federal Motor Carrier Safety Regulations
49 C.F.R. Pt. 40                                                Transportation - Drug and Alcohol Testing Procedures

Cross References:  403.05  Substance-Free Workplace
                                            403.05-R(1)  Substance-Free Workplace - Regulation
                                            403.05-E(1)  Substance-Free Workplace - Notice to Employees
                                            409.02  Employee Leaves of Absence   

Approved: 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025

 

I, ( Name of Employee ), understand that as part of my employment in a position that requires a commercial driver’s license in the North Tama County Community School District, I grant consent for the District to conduct queries of the Federal Motor  Carrier Safety Administration (“FMCSA”) Commercial Driver’s License Drug and Alcohol Clearinghouse to  determine whether drug or alcohol violation information about me exists in the Clearinghouse. I further consent to  the District sharing information related to my drug and alcohol testing results with prior, current and future  employers, as well as the FMCSA Clearinghouse in accordance with state and federal laws. 

I understand that the District will check and perform queries of my drug and alcohol testing results prior to my  employment in any position which requires the use of a commercial driver’s license. I further understand the  District will check and perform queries of my testing results annually and is required to report any drug and alcohol  violations of this policy to the FMCSA Clearinghouse. 

I understand that I am not required to consent to the query of the FMCSA Clearinghouse or the District sharing of  drug and alcohol testing information with past, present or future employers or the FMCSA Clearinghouse; but that  without my consent I understand I will be prohibited from performing safety sensitive functions, including driving a  commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations. 

I hereby give my consent to the District to perform queries of the FMCSA Clearinghouse and share my drug and alcohol testing results with past, present and future employers, as well as the FMCSA Clearinghouse.  

 

__________________________________________________                ________________________
(Signature of Employee)                                                                                                             (Date)

 

 

I.C. Iowa Code                                      Description
Iowa Code § 124                                                Controlled Substances
Iowa Code § 279.8                                            Directors - General Rules - Bonds of Employees
Iowa Code § 321.375                            Motor Vehicles - Bus Drivers
Iowa Code § 730.5                                            Drug-Free Workplaces  

U.S.C. - United States Code                   Description
41 U.S.C. §§ 81                                                Public Contracts - Drug-Free Workplace
42 U.S.C. § 12101                                             Public Health - Equal Opportunity - Disabilities
49 U.S.C. §§ 5331                                             Transportation - Testing /Controlled Substances

C.F.R. - Code of Federal Regulations     Description
49 C.F.R. Pt. 382                                               Transportation - Controlled Substances and Alcohol Use Testing
49 C.F.R. Pt. 390                                               Transportation - Federal Motor Carrier Safety Regulations
49 C.F.R. Pt. 40                                                Transportation - Drug and Alcohol Testing Procedures

Cross References:  403.05  Substance-Free Workplace
                                          403.05-R(1)  Substance-Free Workplace - Regulation
                                          403.05-E(1)  Substance-Free Workplace - Notice to Employees
                                          409.02  Employee Leaves of Absence

Approved: 7/21/2025
Reviewed: 6/16/2025
Revised: 6/16/2025