Fillable Contractor/subcontractor/1099 Employee Registration Form printable pdf download

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ANNUAL CONTRACTOR REGISTRATION

YOUR e-mail ADDRESS IS IMPORTANT

We need it to e-mail your Registration Certificate

Codified Ordinance Chapter 1145 has been established by the City of Salem

for the ANNUAL REGISTRATION OF CONTRACTORS AND

SUBCONTRACTORS/1099 EMPLOYEES

Registration is required for all persons, firms or corporations who enter into written or oral contract or agree-

ment to supply goods, services and/or labor within the corporate limits of the City of Salem.

All of your 1099 employees must be registered. Failure to register your “helpers” and/or 1099 employees

could result in your job being stopped.

Individuals, under the age of 18 years, engaged in work or providing services to others, such as lawn care,

snow removal, etc, are exempt.

Registration consists of:

1. Provide information about yourself, firm or corporation.

2. Compliance with City of Salem Income Tax laws.

3. Minimum $300,000.00 Comprehensive General Liability Insurance.

4. Ohio Worker’s Compensation Certificate, if applicable.

5. $50.00 Registration Fee.

Complete the two enclosed registration forms and return them with a copy of your insurance certificate (with

the City of Salem as the certificate holder), compensation certificate (if applicable) and a $50.00 check made

out to: CITY OF SALEM.

The Annual Registration Fee of $50.00 is for the calendar year. Annual renewals are $50.00. Registration is

not assignable or transferable and there are no refunds. THIS IS NOT A LICENSE . The City of Salem is not

responsible for damages resulting from any action of a registered party. The City does not endorse or rec-

ommend any contractor/subcontractor and registered parties are not to imply this in any way.

FAILURE TO REGISTER: Should any person, firm or corporation, either as a contractor, or subcontractor be

found by the Zoning Officer or Income Tax Administrator to be performing work, entering into a written or oral

contract or agreement to supply goods and/or labor without a valid registration, said Zoning Officer or Income

Tax Administrator shall cause all work to cease immediately until all provisions of this ordinance have been

met, and an additional fee equal to three (3) times the original registration fee is paid.

DAILY ENFORCEMENT IS CONDUCTED BY THREE CITY INSPECTORS TO DETERMINE IF COMPLI-

ANCE HAS BEEN MET.

The penalty for failing or refusing to comply with the provisions of this ordinance, and upon conviction, shall

be deemed guilty of a misdemeanor and could result in a fine of not more than five hindered ($500.00) dol-

lars. Each day such violation exists shall constitute a separate offense.

Additional Contractor Registration Forms can be downloaded by going to:

Click on downloads under Planning & Zoning

WHEN SENDING YOUR REGISTRATION INFORMATION ADDRESS YOUR ENVELOPE TO:

CONTRACTOR REGISTRATION…..City of Salem Zoning Office…..231 S. Broadway Ave…..Salem, OH 44460

City of Salem Zoning

City of Salem Income Tax

330-332-4241

Ext 228

231 S. Broadway Ave.

330-332-4241

Ext 225

Salem, OH 44460

Contractor/subcontractor/1099 Employee Registration Form

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