Brookhaven, GA · DeKalb County
Certification of Sponsor Drug-Free Workplace
Contractors use this certification to confirm a drug-free workplace and related subcontractor requirements while performing an agreement.
What this form is
This certification records a contractor representative’s statements about providing a drug-free workplace during an agreement and requiring subcontractors to do the same. The form asks for the contractor’s name and address, an authorized representative’s signature and title, and the date. It also includes certifications about compliance with the cited workplace provisions and controlled substances.
Who needs it
A contractor whose authorized representative must certify drug-free workplace conditions and subcontractor requirements during an agreement needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it includes no notarized or sworn attachment, and the contractor signs and dates it.
How to submit this form
- 1
Download The Certification
Download the Drug-Free Workplace Certification PDF.
- 2
Complete Contractor Details
Enter the contractor’s name and address, and provide the authorized representative’s title.
- 3
Sign And Date
The contractor’s authorized representative signs and dates the certification.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Drug-Free Workplace Certification confirm?
- The contractor certifies that a drug-free workplace will be provided during the agreement, subcontractors will be required to provide one, and the signer will not engage in specified unlawful conduct.
- Who completes the certification?
- A contractor’s duly authorized representative completes the certification by providing the contractor’s name and address, then signing, dating, and stating their title.
- Do I need a notary for the Drug-Free Workplace Certification?
- No. This document is signed without a notary and has no notarized or sworn attachment; the contractor signs and dates it.
- How do I submit the certification?
- The document does not state a submission method or department. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Certification of Sponsor Drug-Free Workplace doesn’t need a notary — but if you have another Brookhaven form that does, a commissioned online notary can help.