Pre-Employment Drug Testing Form
- Employer Reported Refusal to Submit or Positive Test Result, UCB-18102-E
Wisconsin employers may report the name of anyone who either fails or refuses to take a pre-employment drug test for the unlawful use of a controlled substance that is a condition of the offer of employment. Unemployment Insurance (UI) makes it easy for employers to report this information and will keep the information secure and confidential.
Failing or refusing to take a pre-employment drug test is presumed to be a refusal of suitable work.
If a claimant fails a pre-employment drug test for the unlawful use of a controlled substance (without a valid prescription) and has not established that they had good cause, the claimant will be offered the option to attend treatment and complete a skills assessment before UI benefits are denied.
Complete form UCB-18102-E, Pre-Employment Drug Testing - Employer Reported Refusal to Submit or Positive Test Result.
Send by mail to:
Department of Workforce Development
P.O. Box 7905
Madison, WI 53707
or fax to:
For additional questions specific to pre-employment drug testing, please email UIDrugTest@dwd.wi.gov.
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