What Is DA Form 5019 R?

The DA 5019 R is an Army form used to maintain a drug-free federal workplace. It informs civilian employees and job applicants that certain positions require random drug testing as a condition of employment.

The form covers the key rules of the Drug-Free Federal Workplace Program. It explains required drug testing procedures, what happens if an employee tests positive, and how test results are kept confidential. See also our Drug-Free Workplace Certification page for related Army compliance forms.

Employees who do not meet these conditions may face reassignment or separation from service. The Employee Assistance Program (EAP) is available to help employees with drug-related concerns. Both the employee and supervisor must sign the form to confirm receipt of the notice.

QuestionAnswer
Form NameDa Form 5019 R
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesda form 5019 fillable, form da 5019, da5019, da form 5019