Independent Contractor Form - Rhode Island School Of Design printable pdf download

Independent Contractor Form - Rhode Island School Of Design

RHODE ISLAND SCHOOL OF DESIGN

Independent Contractor Form

PART I: To be completed by prospective independent contractor (i.e., the individual providing a service.)

Part I, Section I - Personal data

Name:

Home Mailing Address:

Telephone:

E-mail Address:

Part I, Section II - Relationship with the Institution

Do you currently work for RISD as an employee?

Yes

Has RISD extended you an offer of employment?

Yes

Have you worked as an employee of RISD during the 12 months prior to the date of this Service/Visit?

Yes

Have you been enrolled as a RISD student within the past 12 months prior to the date of this Service/Visit?

Yes

If the answer is "No" to all questions, proceed to Section III

If the answer is "Yes" to any of the questions, return this form to the hosting department/hiring department.

Hosting Department/Hiring Manager: Contact HR, as the individual should be classified as an employee and paid via Payroll.

Part I, Section II - Relationship with the Institution

Describe the services to be provided (use attachment, as necessary):

Have you provided the same or similar services to other unrelated entities or to the general public as a trade or business during the

Yes

last 12 months?

Where do you advertise your services?

Word of Mouth

Yellow Pages

Publications

Web

List any publication names and web URL's, if applicable:

Provide names, contact numbers and dates of service for three of your major customers other than Rhode Island School of Design

Customer

Name

Contact Number

Date(s) Service Provided

issued a 1099

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Independent Contractor Form - Rhode Island School Of Design