Hud 50070 Form PDF Details

In navigating the complexities of maintaining a drug-free environment within organizations receiving federal grant funding from the U.S. Department of Housing and Urban Development (HUD), the HUD 50070 form serves as a fundamental pillar. This Certification for a Drug-Free Workplace requires applicants to undertake several critical actions and make explicit commitments to foster a workspace devoid of drug abuse. Starting with the declaration of maintaining a drug-free workplace, the form walks applicants through a series of steps including the publication of anti-drug policies, establishment of a drug-free awareness program, and stipulating clear penalties for violations. Furthermore, it mandates that each employee engaged under the grant be well-informed about these policies and the consequences of their violation, including the requirement for employees to notify their employer about any drug statute conviction occurring in the workplace within a set timeframe. Employers are also obliged to report such convictions to HUD and take appropriate action against convicted employees, which could range from termination to mandating participation in rehabilitation programs. By setting these protocols, the form not only emphasizes compliance but also encourages a proactive approach towards sustaining a drug-free workplace. It delineates the steps for reporting and acting on incidents of drug abuse within federally funded projects or activities, emphasizing accountability and the importance of a wholesome work environment. The HUD 50070 form, thus, becomes an instrument of commitment to health, safety, and legal compliance, guiding organizations in the intricate process of establishing and maintaining a workplace that is both productive and compliant with federal requirements for a drug-free environment.

QuestionAnswer
Form NameHud 50070 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshud form 50070, certificate workplace, 50070, hud certificate

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Certification for

a Drug-Free Workplace

U.S. Department of Housing and Urban Development

Applicant Name

Program/Activity Receiving Federal Grant Funding

Acting on behalf of the above named Applicant as its Authorized Official, I make the following certifications and agreements to the Department of Housing and Urban Development (HUD) regarding the sites listed below:

I certify that the above named Applicant will or will continue to provide a drug-free workplace by:

a. Publishing a statement notifying employees that the un- lawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the Applicant's work- place and specifying the actions that will be taken against employees for violation of such prohibition.

b.Establishing an on-going drug-free awareness program to inform employees ---

(1)The dangers of drug abuse in the workplace;

(2)The Applicant's policy of maintaining a drug-free

workplace;

(3)Any available drug counseling, rehabilitation, and employee assistance programs; and

(4)The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace.

c. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph a.;

d.Notifying the employee in the statement required by para- graph a. that, as a condition of employment under the grant, the employee will ---

(1)Abide by the terms of the statement; and

(2)Notify the employer in writing of his or her convic- tion for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction;

e. Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph d.(2) from an em- ployee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, includ- ing position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federalagency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant;

f.Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph d.(2), with respect to any employee who is so convicted ---

(1)Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or

(2)Requiring such employee to participate satisfacto- rily in a drug abuse assistance or rehabilitation program ap- proved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;

g.Making a good faith effort to continue to maintain a drug- free workplace through implementation of paragraphs a. thru f.

2. SITES FOR WORK PERFORMANCE. The Applicant shall list (on separate pages) the site(s) for the performance of work done in connection with the HUD funding of the program/activity shown above: Place of Performance shall include the street address, city, county, State, and zip code. Identify each sheet with the Applicant name and address and the program/activity receiving grant funding.)

Check here

if there are workplaces on file that are not identified on the attached sheets.

I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)

Name of Authorized Official

Title

 

 

Signature

Date

X

form HUD-50070 (3/98) ref. Handbooks 7417.1, 7475.13, 7485.1 & .3

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Sites for Work Performance The, Check here, and USC     USC in hud 50070

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