Independent Contractor Agreement Template - State Of Florida printable pdf download

Independent Contractor Agreement Template - State Of Florida

AFFIDAVIT OF INDEPENDENT CONTRACTOR STATUS

STATE OF FLORIDA

COUNTY OF

BEFORE ME, the undersigned authority, personally appeared, who, after being sworn

by me, states as follows:

I am over the age of 18 years.

I swear and attest that I am an independent contractor, and that I meet the

requirements of Section 440.02 as indicated below:

a. I maintain a separate business with my own work facility, truck, equipment,

materials, or similar accommodations; b. I perform or agree to perform specific services or work

for specific amounts of money and control the means of performing the services or work; c. I incur

the principal expenses related to the services or work that I perform or agree to perform; d, I am

responsible for the satisfactory completion of work or services that I perform or agree to perform

and could be held liable for a failure to complete the work or services; e.. I receive compensation

for work or services performed for a commission or on a per-job competitive-bid basis and not on

any other basis; f.. I may realize a profit or suffer a loss in connection with performing work or

services; g. I have continuing or recurring business liabilities or obligations; and h. The success or

failure of my business depends on the relationship of business receipts to expenditures. I. I hereby

further swear that I have no employees.

FURTHER AFFIANT SAYETH NOT.

Company Name:___________________________________________________________

Signed and dated __________________________________________________________

________________________________________________________________________

Independent Contractor

STATE OF FLORIDA

COUNTY___________

The foregoing instrument was acknowledge before me this _______ day of ________ 2003

by________________________, who is personally known to me or who has produced

_________________ as identification and who did take an oath.

________________________________________

Notary Public

Independent Contractor Agreement Template - State Of Florida