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8022.1 <br />Appendix 12[ <br />-2- <br />t. Notifying the employee 1n the state~dent required by paragraph 1 <br />that. a~ a condition of ergloynent under the grant, the <br />e~gloyee M111: <br />i. abide by the terms of the stateoent; and <br />11. notify the employer of any cri~inal drug statute convic- <br />tion fora violation occurring in the workplace no later <br />than five days after such conviction; <br />5. Notifying HUD within ten days after receiving notice under <br />subparagraph 4 (ii) troy any employee or other+tise receiving <br />actual notice of such conviction; <br />6. Taking one of the folloxing actions. vlthin 30 days of <br />receiving notice under subparagraph 4 (ii), with respect to any <br />employee Mho is so Convicted: <br />i. taking appropriate personnel action against such an <br />e.~ployee. up !o and including termination; or <br />fi. requiring such employee to participate satisfactorily in a <br />drug abuse assistance or rehabilitation program approved <br />for such purposes by a Federal. State or local health Tarr <br />enforcement. or other appropriate agency; <br />7. Kakin99 a good faith effort. to continue to ayintain a drug-free <br />rrortptace through implementation of paragraphs 1, 2. 3. d. 5 <br />and 6. <br />b. The applicant shall insert in the space provided belay the site(s) <br />for the performance of work done in connection with the specific <br />grant: <br />Place of Perfonuance (Street address. city. county, state.. zip code) <br />c <br />c <br />c <br />c <br /> <br />4$ <br />12t-5 6~9a <br />