The Application-Affidavit/Checklist for Certification of Kentucky Drug-Free Workplace Program Pursuant to 803 CAR 25:280 is a form used to certify that an employer is compliant with the state’s drug-free workplace laws. This form is mandated by the Kentucky Department of Workers’ Claims and is part of the Kentucky Drug-Free Workplace Program. The form must be completed in order for an employer to receive certification. The form includes several sections, including a basic overview of the program, an application section, an affidavit of compliance, and a checklist of requirements. In the application section, employers must provide basic information such as their name, address, and the name of the person responsible for the Drug-Free Workplace Program. In the affidavit, employers must affirm that they have implemented all the necessary components of a drug-free workplace program, such as a written policy, employee education, and supervisor training. Lastly, in the checklist, employers must provide evidence that they have met all the requirements of the program. There are three types of Application-Affidavit/Checklist for Certification of Kentucky Drug-Free Workplace Program Pursuant to 803 CAR 25:280: an Initial Certification, a Renewal Certification, and a Recertification. The Initial Certification is used when an employer is applying for certification for the first time. The Renewal Certification is used when an employer is applying for recertification after their initial certification has expired. The Recertification is used when an employer is applying for certification after having their certification revoked.