HR Exam Letter

HR Exam Letter

Date:

Personal Information

Position Information

Exam Details

This letter confirms that you are scheduled to undergo the following examination(s) as a condition of employment. Please review carefully and provide consent where indicated.

Examination(s) required: Medical examination Drug/alcohol screening Functional capacity / physical abilities test Skills and competency assessment Background check

Scheduled Date:   Time:

Location:

Preparatory requirements: Fasting required Bring government-issued photo ID Bring medical records or current prescriptions

HR Contact:   Phone:   Email:

Instructions and Consequences

You must arrive on time and present the identification and documents listed above. Failure to attend, failure to follow preparatory instructions, or refusal to submit to the required examination(s) may result in withdrawal of the offer of employment or other personnel action. Any alteration of sample collection or refusal to cooperate with testing protocols will be treated as a positive result for purposes of this requirement.

If you require a reasonable accommodation to complete the examination due to a disability, notify the HR contact above at least 72 hours prior to the scheduled date so that arrangements can be discussed and made where reasonable and appropriate.

Employment History

Education

References

Legal Disclosures

At-Will Employment: Nothing in this letter or in any related communication is intended to alter the at-will nature of employment, if applicable. Either you or the Company may terminate the employment relationship at any time, with or without cause or notice, unless a written agreement signed by an authorized Company representative specifies otherwise.

Equal Opportunity: The Company provides equal opportunity in employment and will not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or other protected characteristic as required by applicable federal, state, and local law.

Medical Information: Any medical information obtained as a result of the required examination will be treated as confidential and maintained in a separate medical file to the extent required by applicable law. Access to this information will be limited to individuals with a business need to know.

Authorization and Consent

By signing below, I authorize the Company and its designated agents to:

Obtain medical information and test results from examining clinicians and laboratories for purposes of determining fitness for duty.
Conduct drug and alcohol testing and obtain the results of such testing.
Conduct background checks, including criminal history, education verification, and employment verification.
Contact my previous employers, references, and other listed sources for the purpose of verifying employment history and suitability.

I hereby release and hold harmless the Company, its agents, physicians, and any individuals or entities from liability for furnishing or receiving such information, provided the parties act in good faith and in accordance with applicable law.

Applicant Certification

I certify that all information provided in this letter and any attached documentation is true, complete, and correct. I understand that any misrepresentation, omission, or falsification may result in refusal of employment or termination. I acknowledge that compliance with the examination requirements is a condition of continued consideration for employment and that the results may be considered in determining my fitness for the position.

I further acknowledge that I have been given the opportunity to ask questions about the examination and the processes described herein, and that I may request reasonable accommodation if I have a disability affecting my ability to undergo the examination.

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