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Docusign Envelope ID 5BEB38E3-9A4C-4D19-9586-Al7352C599AA <br />ACKNOWLEDGEMENT <br />I acknowledge that I have received and read a copy of LPFD's Substance Testing Policy. I <br />understand the Policy and agree to abide by it. i understand the Policy may be updated in the <br />future. <br />Employee Signature <br />Employee Name (printed) <br />This form shall be retained by Human Resources. <br />Date <br />Please complete and return this form immediatelj% <br />49 <br />