Documents

All employees at JACAM Chemicals are required to read, fill out, and understand all the documents located in the Employee Packets. The following list contains all pre-hire documents found in the Employee Packet, as well as a Trucker Packet for all drivers. Please download each file, read thoroughly, print and fill out all information requesting forms, and deliver the hard copy to the HR department.

(Note: Word, Excel, and Adobe Acrobat are required to read the following. A free download of Adobe Acrobat can be found on their website.)

Employee Packet Documentation

2. Disclosure
3. Current EE Authorization and Release for Information
4. Past Employer Inquiry
5. KS Department of Labor - Request for Workers Comp.
6. Application for Employment
7. New Employee Data Sheet
8. 2007 W4 Form
9. I-9 Form
10. A State of Kansas EE Certification Form for Grant
11. CPI Direct Deposit
13. 2006 Election Form CPI
14. FSA EE Direct Deposit Authorization
15. FSA 2006 Enrollment Package
16. Substance Abuse Policy
17. Employee Agreement
18. Email & Fax Employee Acknowledgement Form
19. Consumer Report
20. HAZMAT-Agreement
21. Workplace Safety File Memo
22. Property Receipt Form
23. New user
26. Employee Benefits
27. Insurance Package
28. Blue Cross Blue Shield - Schedule of Benefits
29. Blue Cross Blue Shield Application
30. Blue Cross Blue Shield Instructions
31. Advance Life Insurance Form Instructions
32. Advance Insurance Form
33. Basic Life Insurance Form Instructions
34. Hartford Enrollment Form ID 27
35. Hartford Supplemental Insurance Instructions
36. JACAM SuppLife Summary
37. JACAM Short Term Disability Summary
38. JACAM Long Term Disability Summary
39. Supplemental Life Insurance 12-14-05
40. Vision Care Direct Insurance Instructions
41. Vision Care Direct
42. COBRA Rights
44. D & A Policy Receipt and Acknowledgement
45. Drug Alcohol Policy 9-8-05
Reminder

New Driver Packet Documentation

(in addition to the New Employee Packet Documentation above)

0B. New Driver Equipment Checklist
1. Application for Employment
2. Fair Credit Reporting Act
3. Request for Check for Driving Record
4A. Certificate of Road Test 7-2-04 (only for TT Drivers)
4B. Record of Road Test
5. Certification of Compliance
6. Drivers Statement of On-Duty Hours
9. Drivers Notification of Rights
10. I-9 Form
12. Alcohol and/or Drug Test
14. Employee Guide Combined
15. Previous Pre-employment Employee D-A Statement
16. Safety Performance History
20. HAZMAT-Agreement
21. Workplace Safety File Memo
Written Examination & Road Test

Note: If any links fail to work properly, please inform the Webmaster.

Current Employees

All new employees and current employees can access post-hire documents by clicking this link here.

(Note: Word, Excel, and Adobe Acrobat are required to read the following. A free download of Adobe Acrobat can be found on their website.)

Employee Packet Documentation

New Driver Packet Documentation

(in addition to the New Employee Packet Documentation above)

Current Employees

(Note: You must have a user name and password to access this page. If you're an employee and don't have these, please contact the Webmaster)