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The drug screen is a mandatory part of your CDL physical. If you don't take it then, you don't pass your DOT physical, and you won't get a medical card - hence, you don't get your CDL.

If you already have a CDL, and you refuse to take a pre-employment drug screen, you don't get hired.

If you're already employed as a CDL driver, and you refuse a quarterly or other periodic drug screen, you lose your job, and a big black mark goes on your MVR.

If you refuse a mandatory post-incident drug screen... well, welcome to the wonderful world of implied consent. You'll lose your job and your licence.

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Q: What if you refuse a cdl drug test in co?
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