Instructions For Form De 542 - Completing The Report Of Independent Contractor(S)

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INSTRUCTIONS FOR COMPLETING THE REPORT OF INDEPENDENT CONTRACTOR(S)
WHO MUST REPORT:
Any business or government entity (defined as a “Service-Recipient”) that is required to file a Federal Form 1099-MISC for
service performed by an independent contractor (defined as a “Service-Provider”) must report. You must report to the
Employment Development Department within twenty (20) days of EITHER making payments of $600 or more OR entering
into a contract for $600 or more with an independent contractor in any calendar year, whichever is earlier. This information is
used to assist state and county agencies in locating parents who are delinquent in their child support obligations.
An independent contractor is further defined as an individual who is not an employee of the business or government entity
for California purposes and who receives compensation or executes a contract for services performed for that business or
government entity either in or outside of California. For further clarification, request Information Sheet: Employment Work
Status Determination (DE 231ES). See below for additional information on how to obtain forms.
YOU ARE REQUIRED TO PROVIDE THE FOLLOWING INFORMATION THAT APPLIES:
Service-Recipient (Business or Government Entity):
Service-Provider (Independent Contractor):
• Federal employer identification number
• First name, middle initial, and last name
• California employer account number
• Social security number
• Social security number
• Address
• Service-recipient name/business name, address,
• Start date of contract (if no contract, date
and telephone number
payments equal $600 or more)
• Amount of contract including cents (if applicable)
• Contract expiration date (if applicable)
• Ongoing contract (check box if applicable)
HOW TO COMPLETE THIS FORM:
If you use a typewriter or printer, ignore the boxes and type in UPPER CASE as shown. Do not use commas or periods.
MI
FIRST NAME
LAST NAME
IMOGENE
A
SAMPLE
STREET NAME
UNIT / APT.
SOCIAL SECURITY NO.
STREET NO.
301
123456789
12345
MAIN STREET
If you handwrite this form, print each letter or number in a separate box as shown. Do not use commas or periods.
FIRST NAME
MI
LAST NAME
I M O G E N E
A
S A M P L E
SOCIAL SECURITY NO.
STREET NO.
STREET NAME
UNIT / APT.
1 2 3 4 5 6 7 8 9
1 2 3 4 5
M A I N
S T R E E T
3 0
1
GENERAL INFORMATION:
If you have any questions concerning this reporting requirement, please call (916) 657-0529. You may also contact your
local Employment Tax Customer Service Office listed in your telephone directory in the State Government section under
“Employment Development Department,” Or you may access our Internet site at
To obtain additional DE 542 forms:
Enter number of forms needed in upper right hand corner on front of form; or
Visit our Internet site at or
For 25 or more forms, telephone (916) 322-2835
For less than 25 forms, telephone (916) 657-0529
To obtain information for submitting Report of Independent Contractors on magnetic media, call (916) 651-6945.
HOW TO REPORT:
Please record the information in the spaces provided and mail to the following address or fax to (916) 255-3211.
EMPLOYMENT DEVELOPMENT DEPARTMENT
P. O. Box 997350, MIC 99
Sacramento, CA 95899-7350
DE 542 Rev. 1 (1-01) (INTERNET)
Page 2 of 2
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