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Page Title: Urinalysis Consent Form
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testing program, adapted as necessary to meet unique unit and local situations. The specific types of urinalysis testing  and  authority  to  conduct  them  are  outlined  as follows. Search and Seizure Tests  conducted  with  member’s  consent.  Members suspected  of  having  unlawfully  used  drugs  may  be requested to consent to urinalysis testing. For consent to be valid, it must be freely and voluntarily given. In this  regard,  OPNAVINST  5350.4B  provides  that,  before requesting  consent,  commands  should  advise  the member that he or she is suspected of drug use and may decline to provide a sample. A recommended urinalysis consent form is shown in figure 4-3. Probable  cause  and  authorization. Urinalysis testing may be ordered, according to Mil.R.Evid 312(d) and 315, whenever there is probable cause to believe that a member has wrongfully used drugs and that a test will produce evidence of such use. For example, during a routine locker inspection in the enlisted barracks, you find  an  open  baggie  of  what  appears  to  be  marijuana under  some  clothes  in  Petty  Officer  Doe’s  wall  locker. Along with the marijuana you find a roach clip and some rolling  papers.   You notify the CO of your find and he sends  for  Doe.  A  few  minutes  later,  Petty  Officer  Doe staggers  into  the  CO’s  office-eyes  red  and  speech slurred. He is immediately apprehended and searched. A marijuana cigarette is found in his shirt pocket. Under these facts, a commander would have little trouble finding probable cause to order that a urine sample be given. Probable  cause  and  exigency.  Mil.R.Evid  315 recognizes  that  there  may  not  always  be  sufficient  time or  means  available  to  communicate  with  a  person empowered  to  authorize  a  search  before  the  evidence  is lost or destroyed. While more commonly seen in the operable  vehicle  setting,  facts  could  give  rise  to  support an  exigency  search  of  a  member’s  body  fluids. URINALYSIS  CONSENT  FORM I, having  been  requested  to  provide  a  urine  sample  have been advised that: (1) I am suspected of having unlawfully used drugs; (2) I may decline to consent to provide a sample of my urine for testing; (3) If a sample is provided, any evidence of drug use resulting from urinalysis testing may be used against me in a court-martial. I consent to provide a sample of my urine.   This consent is given freely and voluntarily by me, and without any promises or threats having been made to me or pressure or coercion of any kind having been used against me. Signature Date Witness’  signature Date Figure  4-3.—Urinalysis  consent  form. 4-23

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