Independent Contractor Agreement (Page 3 of 3) in pdf

Independent Contractor Agreement Page 3

[COMPANY NAME]

physical proof must be provided to [COMPANY INITIALS]. Any one of the following is

sufficient proof of independent contractor status:

_ 1) A business office address separate from the residential address (not a PO Box #)

_ 2) The filing of a business (Schedule C) Federal tax return that includes income from

non-[COMPANY INITIALS] sources. (copy required)

_ 3) The contractor has employees and provides a copy of an employment tax return

In absence of any above proof, two or more of the following must be provided:

_ 1) Professional business cards and stationery.

_ 2) A business advertisement in the newspaper, etc.

_ 3) A business listing in the Yellow Pages or other business telephone directory

_ 4) A separate business telephone or fax number or answering service.

_ 5) A copy of an invoice to and a check or check stub from another company as

compensation for the same type of service.

_ 6) Proof of ownership of special business equipment, such as: a delivery truck,

professional photography equipment, professional printing equipment, etc.

_ 7) A special business license.

_ Former employees of [COMPANY INITIALS] will need to provide substantial proof of

independent contractor status, typically three or more of the above examples.

_ Previously submitted required proof on _____________________.

After the Independent Contractor and the [COMPANY] Treasurer have signed this

agreement, please forward it including attachments for approval to the following address:

[COMPANY ADDRESS]

[COMPANY] Initials _____

Page: 3

Customer’s Initials ____

[STREET ADDRESS] • [CITY, STATE] • [ZIP CODE]

[PHONE] • [FAX] • [URL]

Independent Contractor Agreement Page 3