Certificate of Completion for
James Hill
In recognition of having successfully completed the requirements for and earning: Class 1
Employee Information Change • Voluntary Self Identification • W-4 Federal Withholding Form • Fuel Card Usage Policy • Smoking Policy Acceptance/ Release • Pre-Screening Notice and Certification Request for the Work Opportunity Credit • Tax Credit Questionnaire • Long-Term Unemployment Recipient Self-Attestation Form • National Washout Procedure for Box and Reefer Trailers/Trucks • FDA Food Safety Modernization Act (FSMA) • State Withholding Form (may or may not apply) • Reasonable Accommodation • Direct Deposit Authorization Form
• Acknowledgement of Receipt and Understanding of Code of Conduct and Conflict of Interest Policy • Receipt For Driver Drug and Alcohol Materials • Certification of Compliance With Driver's License Requirements • Alcohol and Drug Test Statement • Driver's Right Pertaining to Release of Driver Information • In Case of Emergency Contact List • Cell Phone Policy • Certification of Violations • Employee Handbook Acknowledgment Form • JBS Vehicle Inspection • Welcome To JBS Carriers Online Orientation • Driver's License Picture • Bank Verification Documentation
Dr. Gina Anderson
CEO, Luma Inc.
May 24, 2023
Date