Employment Documents that you must complete and bring to your appointment: The documents described below are provided herein.
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- Ilene Melton
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1 Your New Hire" onboarding includes completion of required paperwork. The checklist below denotes the documentation needed prior to your onsite appointment. Please print and complete the forms per the instructions provided below. You will need to bring the completed forms with you to your onboarding appointment. Please allot thirty minutes for your appointment. It is extremely important to be on time for this appointment! Your photo will be taken for your Company ID badge and you will receive additional information at the meeting that will require your signature. Steps to complete NOW: Your Pre-employment drug screening must be completed now. No appointment is needed. Locations, instructions, and screening forms are included. You will need to print the forms, choose a location, and bring the appropriate form(s) with you to the screening location. A picture ID is required at the screening location. PLEASE NOTE : We require completion of your drug screening, prior to your appointment. Employment Documents that you must complete and bring to your appointment: The documents described below are provided herein. W4 Federal Form Print and complete numbers 1 through 7, sign and date the bottom. This is a legal document; you cannot have scratch outs/marks on the form. A new form must be completed, if there are scratch outs/marks. State Withholding Print and complete; sign and date at the bottom. PR83 New Employee Information - Personal Data Complete this form through military information. HR will fill out the additional information at the bottom of the form. Form I-9 - Employment Eligibility Verification Complete Section 1, sign and date. HR will complete Section 2. HR must have a copy of two forms of unexpired identification (refer to the list List of Acceptable Documents" included). You may select to bring identication from List A or select to bring identification from List A and from list B. Do not sign OR date the Form I-9 until your appointment. Payroll must have a copy of your Social Security card on file. If you do not have a SSN card, you will need to apply for one and provide your receipt. Alcohol & Prohibited Substances Abuse Form You must read the document, sign and date the last page. Questionnaire on Conflict of Interest You must answer questions 1 through 5; sign and date the 2 nd page. Definitions of Terms Used in Conflict of Interest Questionnaire This document is will help you, if you do not understand the questions on the Questionnaire on Conflict of Interest form. This form will explain each question. Self Identification Form- This document is an invitation to self-identify, which is voluntary. Print and complete as you deem appropriate.
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4 Form W-4 (2012) Purpose. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes. Exemption from withholding. If you are exempt, complete only lines 1, 2, 3, 4, and 7 and sign the form to validate it. Your exemption for 2012 expires February 18, See Pub. 505, Tax Withholding and Estimated Tax. Note. If another person can claim you as a dependent on his or her tax return, you cannot claim exemption from withholding if your income exceeds $950 and includes more than $300 of unearned income (for example, interest and dividends). Basic instructions. If you are not exempt, complete the Personal Allowances Worksheet below. The worksheets on page 2 further adjust your withholding allowances based on itemized deductions, certain credits, adjustments to income, or two-earners/multiple jobs situations. Complete all worksheets that apply. However, you may claim fewer (or zero) allowances. For regular wages, withholding must be based on allowances you claimed and may not be a flat amount or percentage of wages. Head of household. Generally, you can claim head of household filing status on your tax return only if you are unmarried and pay more than 50% of the costs of keeping up a home for yourself and your dependent(s) or other qualifying individuals. See Pub. 501, Exemptions, Standard Deduction, and Filing Information, for information. Tax credits. You can take projected tax credits into account in figuring your allowable number of withholding allowances. Credits for child or dependent care expenses and the child tax credit may be claimed using the Personal Allowances Worksheet below. See Pub. 505 for information on converting your other credits into withholding allowances. Nonwage income. If you have a large amount of nonwage income, such as interest or dividends, consider making estimated tax payments using Form 1040-ES, Estimated Tax for Individuals. Otherwise, you may owe additional tax. If you have pension or annuity income, see Pub. 505 to find out if you should adjust your withholding on Form W-4 or W-4P. Two earners or multiple jobs. If you have a working spouse or more than one job, figure the total number of allowances you are entitled to claim on all jobs using worksheets from only one Form W-4. Your withholding usually will be most accurate when all allowances are claimed on the Form W-4 for the highest paying job and zero allowances are claimed on the others. See Pub. 505 for details. Nonresident alien. If you are a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form. Check your withholding. After your Form W-4 takes effect, use Pub. 505 to see how the amount you are having withheld compares to your projected total tax for See Pub. 505, especially if your earnings exceed $130,000 (Single) or $180,000 (Married). Future developments. The IRS has created a page on IRS.gov for information about Form W-4, at Information about any future developments affecting Form W-4 (such as legislation enacted after we release it) will be posted on that page. Personal Allowances Worksheet (Keep for your records.) A Enter 1 for yourself if no one else can claim you as a dependent A You are single and have only one job; or B Enter 1 if: { You are married, have only one job, and your spouse does not work; or... B Your wages from a second job or your spouse s wages (or the total of both) are $1,500 or less. C Enter 1 for your spouse. But, you may choose to enter -0- if you are married and have either a working spouse or more than one job. (Entering -0- may help you avoid having too little tax withheld.) C D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return D E Enter 1 if you will file as head of household on your tax return (see conditions under Head of household above).. E F Enter 1 if you have at least $1,900 of child or dependent care expenses for which you plan to claim a credit... F (Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.) G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information. If your total income will be less than $61,000 ($90,000 if married), enter 2 for each eligible child; then less 1 if you have three to seven eligible children or less 2 if you have eight or more eligible children. If your total income will be between $61,000 and $84,000 ($90,000 and $119,000 if married), enter 1 for each eligible child... G H Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.) H { If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions For accuracy, and Adjustments Worksheet on page 2. complete all If you are single and have more than one job or are married and you and your spouse both work and the combined worksheets earnings from all jobs exceed $40,000 ($10,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to that apply. avoid having too little tax withheld. If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below. Form W-4 Department of the Treasury Internal Revenue Service Separate here and give Form W-4 to your employer. Keep the top part for your records. Employee's Withholding Allowance Certificate Whether you are entitled to claim a certain number of allowances or exemption from withholding is subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS. 1 Your first name and middle initial Last name OMB No Your social security number Home address (number and street or rural route) 3 Single Married Married, but withhold at higher Single rate. Note. If married, but legally separated, or spouse is a nonresident alien, check the Single box. City or town, state, and ZIP code 4 If your last name differs from that shown on your social security card, check here. You must call for a replacement card. 5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2) 5 6 Additional amount, if any, you want withheld from each paycheck $ 7 I claim exemption from withholding for 2012, and I certify that I meet both of the following conditions for exemption. Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and This year I expect a refund of all federal income tax withheld because I expect to have no tax liability. If you meet both conditions, write Exempt here Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete. Employee s signature (This form is not valid unless you sign it.) Date 8 Employer s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code (optional) 10 Employer identification number (EIN) For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No Q Form W-4 (2012)
5 Form W-4 (2012) Page 2 Deductions and Adjustments Worksheet Note. Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income. 1 Enter an estimate of your 2012 itemized deductions. These include qualifying home mortgage interest, charitable contributions, state and local taxes, medical expenses in excess of 7.5% of your income, and miscellaneous deductions $ $11,900 if married filing jointly or qualifying widow(er) 2 Enter: { $8,700 if head of household } $ $5,950 if single or married filing separately 3 Subtract line 2 from line 1. If zero or less, enter $ 4 Enter an estimate of your 2012 adjustments to income and any additional standard deduction (see Pub. 505) 4 $ 5 Add lines 3 and 4 and enter the total. (Include any amount for credits from the Converting Credits to Withholding Allowances for 2012 Form W-4 worksheet in Pub. 505.) $ 6 Enter an estimate of your 2012 nonwage income (such as dividends or interest) $ 7 Subtract line 6 from line 5. If zero or less, enter $ 8 Divide the amount on line 7 by $3,800 and enter the result here. Drop any fraction Enter the number from the Personal Allowances Worksheet, line H, page Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet, also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1 10 Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.) Note. Use this worksheet only if the instructions under line H on page 1 direct you here. 1 Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet) 1 2 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more than If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter -0- ) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet Note. If line 1 is less than line 2, enter -0- on Form W-4, line 5, page 1. Complete lines 4 through 9 below to figure the additional withholding amount necessary to avoid a year-end tax bill. 4 Enter the number from line 2 of this worksheet Enter the number from line 1 of this worksheet Subtract line 5 from line Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here $ 8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed.. 8 $ 9 Divide line 8 by the number of pay periods remaining in For example, divide by 26 if you are paid every two weeks and you complete this form in December Enter the result here and on Form W-4, line 6, page 1. This is the additional amount to be withheld from each paycheck $ Table 1 Table 2 Married Filing Jointly All Others Married Filing Jointly All Others If wages from LOWEST paying job are Enter on line 2 above $0 - $5, ,001-12, ,001-22, ,001-25, ,001-30, ,001-40, ,001-48, ,001-55, ,001-65, ,001-72, ,001-85, ,001-97, , , , , , , ,001 and over 15 If wages from LOWEST paying job are Enter on line 2 above $0 - $8, ,001-15, ,001-25, ,001-30, ,001-40, ,001-50, ,001-65, ,001-80, ,001-95, , , ,001 and over 10 Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to provide this information; your employer uses it to determine your federal income tax withholding. Failure to provide a properly completed form will result in your being treated as a single person who claims no withholding allowances; providing fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation; to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws; and to the Department of Health and Human Services for use in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. If wages from HIGHEST paying job are Enter on line 7 above $0 - $70,000 $570 70, , , ,000 1, , ,000 1, ,001 and over 1,330 If wages from HIGHEST paying job are Enter on line 7 above $0 - $35,000 $570 35,001-90, , ,000 1, , ,000 1, ,001 and over 1,330 You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return. If you have suggestions for making this form simpler, we would be happy to hear from you. See the instructions for your income tax return.
6 INSTRUCTIONS 1. NUMBER OF EXEMPTIONS Do not claim more than the correct number of exemptions. However, if you have unusually large amounts of itemized deductions, you may claim additional exemptions to avoid excess withholding. You may also claim an additional exemption if you will be a member of the Kentucky National Guard at the end of the year. If you expect to owe more income tax for the year than will be withheld, you may increase the withholding by claiming a smaller number of exemptions or you may enter into an agreement with your employer to have additional amounts withheld. If you claim more than 10 exemptions this information is sent to the Department of Revenue. 2. CHANGES IN EXEMPTIONS You may file a new certificate at any time if the number of your exemptions INCREASES. You must file a new certificate within 10 days if the number of exemptions previously claimed by you DECREASES for any of the following reasons. (a) You are divorced or legally separated from your spouse for whom you have been claiming an exemption or your spouse claims his or her own exemption on a separate certificate. (b) The support of a dependent for whom you claimed exemption is taken over by someone else, so that you no longer expect to furnish more than half the support for the year. (c) Your itemized deductions substantially decrease and a Form K-4A has previously been filed. OTHER DECREASES in exemption, such as the death of a spouse or a dependent, do not affect your withholding until the next year, but require the filing of a new certificate by December 1 of the year in which they occur. 3. DEPENDENTS To qualify as your dependent (line 4 on reverse), a person (a) must receive more than one-half of his or her support from you for the year, and (b) must not be claimed as an exemption by such person s spouse, and (c) must be a citizen of the United States, or a resident of the United States, Canada, or Mexico, or (d) must have lived with you for the entire year as a member of your household or be related to you as follows: your child, stepchild, legally adopted child, foster child (if he lived in your home as a member of the family for the entire year), grandchild, son-in-law, or daughter-in-law; your father, mother, or ancestor of either, stepfather, stepmother, father-inlaw, or mother-in-law; your brother, sister, stepbrother, stepsister, brother-in-law, or sister-in-law; your uncle, aunt, nephew, or niece (but only if related by blood). 4. PENALTIES Penalties are imposed for willfully supplying false information or willful failure to supply information which would reduce the withholding exemption.
7 Revenue Form K-4 42A804 (11-10) KENTUCKY DEPARTMENT OF REVENUE EMPLOYEE S WITHHOLDING EXEMPTION CERTIFICATE Print Full Name Payroll No. Social Security No. Print Home Address EMPLOYEE: Failure to file this form with your employer will result in withholding tax deductions from your wages at the maximum rate. EMPLOYER: Keep this certificate with your records. HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS 1. If SINGLE, and you claim an exemption, enter 1, if you do not, enter If MARRIED, one exemption each for you and spouse if not claimed on another certificate. (a) If you claim both of these exemptions, enter 2 (b) If you claim one of these exemptions, enter 1... (c) If you claim neither of these exemptions, enter 0 3. Exemptions for age and blindness (applicable only to you and your spouse but not to dependents): (a) If you or your spouse will be 65 years of age or older at the end of the year, and you claim this exemption, enter 2 ; if both will be 65 or older, and you claim both of these exemptions, enter 4... (b) If you or your spouse are blind, and you claim this exemption, enter 2 ; if both are blind, and you claim both of these exemptions, enter If you claim exemptions for one or more dependents, enter the number of such exemptions National Guard exemption (see instruction 1) Exemptions for Excess Itemized Deductions (Form K-4A) Add the number of exemptions which you have claimed above and enter the total Additional withholding per pay period under agreement with employer. See instruction 1...$ I certify that the number of withholding exemptions claimed on this certificate does not exceed the number to which I am entitled. } Date Signed
8 PR83 PAYROLL INFORMATION: NEW EMPLOYEE INFORMATION PERSONAL DATA FULL LEGAL NAME: First: Middle: Last: DOB: Single Married Maiden Name: Home Address: City: State: Zip: Telephone Number: (*home) Social Security Number: - - * To be eligible to receive Employee Concession, the name and SSN on the home phone account must match the employee name in our payroll system. If you need to make a change, contact the Residence Office at In case of an emergency, notify: Mother s Maiden Name: Full Time Part Time Start Date: Time: PACCE EDUCATION AND DATA INFORMATION Telephone Number: If Part Time, hours per day: Days per week: High School: City, State: Year: College Education- Completed Degree(s): College or University: City, State: 1 st Degree: Major: Year Earned: College or University: City, State: 2 nd Degree: Major: Year Earned: Professional License(s) and Certification(s) License #: Issue Date: Issued By: Expiration Date: Issuing State: FORMER BELL SYSTEM SERVICE OR CBT SUBSIDIARY SERVICE Company City & State From To Military Service: Military Special Training: THIS SECTION IS TO BE COMPLETED BY HUMAN RESOURCES Job Title: Location/Bldg#: Department: Mail Drop: Reports To: Wage Rate: Product Code: Commission: (CBTS only) Bonus: Union Local: Hired By: EEO: Completed By: Revised 11/2009
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14 SUBJECT: Alcohol and Prohibited Substances NO Cincinnati Bell (Entities except CBTS) Effective: Human Resources Policies & Procedures Supersedes: POLICY It is the policy of Cincinnati Bell to maintain a drug-free workplace. Cincinnati Bell is committed to providing a safe work environment for employees, delivering the highest quality service to customers, and maintaining a maximally productive workforce. The Company maintains that the work environment is safer and more productive when illicit or illegal drugs, illegal use of inhalants or alcohol (herein referred to as "prohibited substances") are absent. Furthermore, every employee has a right to work with individuals free from the effects of prohibited substances, since employees who use or abuse prohibited substances may constitute a danger to themselves, their co-workers, the public and the employer's assets. This policy is designed to prevent the use or abuse of prohibited substances from adversely affecting employees, customers or the general public. In recognition of the potential dangers of substance abuse, the federal government has issued guidelines requiring employees in certain safety-sensitive positions to participate in a controlled substance and alcohol-testing program. Cincinnati Bell complies with these and all other applicable regulations, and is committed to maintaining a drug-free workplace. In this regard, supervisors and managers who observe or obtain other information suggesting that an employee is impaired while working or otherwise may be engaging in conduct prohibited by this policy should immediately notify Health Services and/or Employee Relations. DEFINITIONS As used in this policy, controlled substances, "prohibited substances", and illegal drugs broadly refers to all forms of narcotics, depressants, stimulants, hallucinogens, illegal use of inhalants and other drugs, including marijuana, whose use, possession, or transfer is restricted or prohibited by law. As used in this policy, under the influence is defined as being unable to perform work in a productive manner or being in a physical or mental condition that creates a risk to the safety and well-being of the individual, other employees, the public, or the Company s property and/or reputation. PROCEDURES The following procedures are in place to help detect policy violations and to ensure the safety of all employees and the public. Every effort will be made to maintain the dignity of employees or applicants involved.
15 SUBJECT: Alcohol and Prohibited Substances NO Cincinnati Bell Effective: Human Resources Policies & Procedures Supersedes: An employee who is experiencing medical or behavioral problems related to controlled substances, illegal drugs, illegal use of inhalants and/or alcohol abuse is encouraged to contact the Employee Assistance Program (EAP) for voluntary assistance in resolving those problems. An employee who is experiencing medical or behavioral problems related to controlled substances, illegal drugs, illegal use of inhalants and/or alcohol abuse and who volunteers this information to management may be given the option of obtaining medical treatment and/or participating in a drug or alcohol rehabilitation program. Any participation in medical treatment and/or alcohol and drug abuse rehabilitation program shall be at the employee s own expense, except that he/she may use the Employee Assistance Program (EAP) and any available medical insurance provided by the company, to the extent that the recommended treatment is covered by the EAP program and/or company medical insurance. If an employee whose continued employment has been conditioned upon his/her successful completion of medical treatment and/or a rehabilitation program for a drug or inhalant problem has successfully completed such program, and the employee is returned to his/her former or another position, then the employee must comply with the preventative course of maintenance prescribed by the employee s treatment program, substance abuse counselor or healthcare provider. Employees who have participated in medical treatment and/or rehabilitation program for alcohol problems are encouraged to comply with the prescribed or recommended course of treatment. If an employee whose continued employment has been conditioned upon his/her successful completion of medical treatment and/or a rehabilitation program for a drug or inhalant problem and the employee is returned to his/her former or another position but fails to remain drug and inhalant free, or does not follow the preventative course of maintenance prescribed by the employee s treatment program, substance abuse counselor or healthcare provider, then the employee shall be subject to termination of employment. Any voluntary counseling or treatment recommended through the EAP or provided by company medical insurance will be conducted in as private and confidential a manner as possible, and any associated medical records will be held separate from personnel files, in confidence and in accordance with applicable law. Employee Assistance Program services are available to Cincinnati Bell employees through Anthem at or or call Health Services for assistance.
16 SUBJECT: Alcohol and Prohibited Substances NO Cincinnati Bell Effective: Human Resources Policies & Procedures Supersedes: Every employee must project a competent, professional image when representing the Company. The following statements define expected behavior and the consequences of violating this policy. 1. On-the-job Employees are expected to refrain from engaging in any of the following activities while on Company-owned/leased premises or worksites (including Company and private vehicles utilized for work purposes), or while on Company business: a. Illegal possession, distribution, transportation, use, sale, purchase, or transfer of controlled substances, illegal use of inhalants or illegal drugs. b. Possession, distribution, transportation, use, sale, purchase, transfer, or consumption of alcoholic beverages. (The only exception is the moderate consumption of alcoholic beverages served at Company-sponsored events or at authorized business meetings, or when the beverage is in the manufacturer s container and the manufacturer s seal has not been broken.) c. Being under the influence of alcohol, drugs, inhalants and/or controlled substances, regardless of whether they were consumed during or outside work time. 2. Use of Prescription and Over-the-Counter Drugs The use of prescription drugs by the person to whom they were prescribed by a licensed health care provider is generally not prohibited under this policy, provided the drugs were lawfully obtained and are not being consumed by the employee at a quantity or frequency which exceeds the prescribed dosage (or recommendations on the label/package). However, if an employee is taking any prescription or over-the-counter drug or medication which is known or advertised as possibly having an adverse impact on the ability to perform work in a safe and productive manner, then prior to beginning work, the employee must (i) notify his/her supervisor that he/she is taking medication that may impact safety or productivity and (ii) notify Health Services of the specific prescription/medication and the employee s reason for taking it. Health Services, in consultation with Human Resources and if necessary, the supervisor, will decide if the employee may remain at work while he/she is taking the prescription/medication and/or if work restrictions are necessary during the period of time the employee is taking the prescription/medication. 3. Off-the-job Employees are expected to refrain from engaging in any of the following activities while off Company premises and work sites, or otherwise off Company time: Illegal possession, distribution, transportation, use, sale, purchase, or transfer of controlled substances, illegal use of inhalants or illegal drugs, where such involvement constitutes a direct threat to Company property or employees, affects an employee s job performance, and/or generates either publicity or circumstances that adversely affect the Company or its employees.
17 SUBJECT: Alcohol and Prohibited Substances NO Cincinnati Bell Effective: Human Resources Policies & Procedures Supersedes: As a condition of employment a. Employees must abide by the terms of this policy. b. Employees with Company driving privileges or who are otherwise authorized to perform safety-sensitive activities on behalf of the Company must notify Cincinnati Bell s Health Services Department ( ) of any off-duty arrests for alcohol or drug-related offenses prior to the beginning of their next work tour. c. Any employee who has been arrested for alcohol or drug-related offenses must refrain from Company driving and other safety-sensitive work activities until approved to resume such activities by Cincinnati Bell s Health Services Department, EAP and an appropriate Employee Relations representative. d. Employees must comply with the Company s alcohol and drug-testing requirements, including (but not limited to) pre-employment screening, Federal and State Departments of Transportation (DOT) testing for persons in safety-sensitive jobs, reasonable suspicion, fitness-for-duty testing, and participation in the Periodic Unscheduled Retesting Program (PURP), as applicable. e. In some instances, employees may be required to participate in and successfully complete alcohol/chemical dependency treatment, a post-rehabilitation treatment/maintenance program and/or random (including PURP) testing program in order to remain employed by the Company. f. Any Employee who has completed PURP must thereafter refrain from any further or future violation of this policy while employed by any Cincinnati Bell entity. Any additional violation of this policy is grounds for immediate dismissal. An employee who violates this policy or who is reasonably suspected of violating this policy is subjec t to inves tigation th at may involve searches of his/her person and property. Searches of employees persons, clothing or personal effects, such as lunch bags/pails, purses, briefcases, totes, attaches and vehicles will not be conducted without the employee s consent. However, an employee s refusal to p ermit a search of personal container(s) upon the request of management ma y result in disciplinary action, up to and including termination of employment. An employee who violates this policy or who is reasonably suspected of violating this policy also may b e requested to undergo alcohol an d drug testing. An employee w ho refuses to comply with a management reque st to submit to testing or who fails to cooperate w ith the testing pro cess w ill be subject to disciplinary action, up to and inc luding ter mination of employment. Any employee w ho otherwise refuses to comply with a manage ment request to cooperate w ith an investigation of alleged violation(s) of this policy also may be subject to disciplinary action, up to and including termination of employment. SUBJECT: Alcohol and Prohibited Substances NO. 31-5
18 Cincinnati Bell Effective: Human Resources Policies & Procedures Supersedes: Depending on the circumstances, an employee w ho violates this policy may be subject to criminal prosecution in addition to disciplinar y action, up to and including termination of employment. Neither this policy nor any of its terms are intended to create a contract of employment, or to alter existing employment or contractual relationships in any way. Cincinnati Bell retains the sole right to change, amend or modify any term or provision of this policy without notice. This policy supersedes all prior policies and statements relating to prohibited substances. It is understood that all or portions of this policy may be the subject of collective bargaining for represented employees. I have read Cincinnati Bell s Drug and Prohibited Substances Policy and I understand its provisions and restrictions. Signed: Date: Witness:
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