Alabama Unified Judicial System 
   Drug-Free Workplace Policy 

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The unlawful manufacture, distribution, dispensation, possession, or use of a 
controlled substance is prohibited in any UJS workplace. 

“Controlled Substance” includes any drug listed in 21 USC Section 812 and 
other federal regulations including, but not limited to,  heroin, marijuana, 
cocaine, PCP, diet pills, tranquilizers, anti-depressants, and 
methamphetamine. It includes legal drugs which are not prescribed by a 
physician. No differentiations will be made between users and sellers. 

Employees, volunteers, or interns who violate this policy will be subject to 
disciplinary measures up to and including termination or dismissal for the first 
offense. 

Drug counseling, rehabilitation, and employee assistance is available for State 
employees through local Mental Health Centers, in conjunction with the State 
Employees’ Health Insurance Plan. (Blue Cross/Blue Shield administered 
plan). 

Employees, volunteers, or interns convicted of a workplace violation of a 
criminal drug statue must inform their administrator within five days of the 
conviction. A conviction means a finding of guilt (including a plea of nolo 
contender) or sentencing by a judge or jury in any federal or state court.  

Each current and future employee, volunteer, or intern will be expected to 
acknowledge this policy as a condition of employment or service by signing a 
form PERS-16 when other initial employment personnel forms are completed. 

   

 

     

 

 

 

 

 

                                 

 
 

Alabama Unified Judicial System 
 
            Acknowledgement of Drug Policy 

 hereby certify that I have received a copy of the UJS policy on the maintenance of a 
Drug-Free Workplace. I understand that the unlawful manufacture, distribution, 
dispensation, possession or use of a controlled substance in any UJS workplace is 
prohibited. I further understand that any violation of this policy will result in the 
appropriate action against the employee, volunteer, or intern involved up to and including 
termination or dismissal. 

 agree to abide by the policy as stated and will notify my administrator within five days 
if I am convicted of violating a criminal drug statue in the workplace. 

 further realize that federal law mandates that my employer communicate this conviction 
to a federal agency that provides federal funds to the UJS, and I hereby waive any and all 
claims that may arise from conveying this information to the federal agency. 

nified Judicial System 
FORM PERS-16   2/12 

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Signature___________________________________________ 

Name (typed or printed)_______________________________ 

Administrator_______________________________________ 

County____________________________________________ 

Date______________________________________________ 

 
 

 

 

 

 

 

       

 

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