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(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; <br />• (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 <br />(a); <br />(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will: <br />(1) Abide by the terms of the statement; and <br />(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar <br />days after such conviction; <br />(e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving <br />actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to: Department of Justice, Office of <br />Justice Programs, ATTN: Control Desk 633 Indiana Avenue, N.W., Washington D.C. 20201. Notice shall include the Identification number(s) of each <br />affected grant; <br />(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 <br />convicted: - <br />(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the <br />Rehabilitation Act of 1973, as amended; or <br />(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, <br />State, or local health, law enforcement, or other appropriate agency; <br />(g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f) <br />As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications. <br />' NAME OF APPLICANT <br />• ' PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE <br />' Name <br />' Title: <br />SIGNATURE <br />• <br />DATE <br />Page D-2 <br />