Laserfiche WebLink
<br />,- <br /> <br />~ <br /> <br />. <br /> <br />. <br /> <br />Independent Contractor certirication <br /> <br />The contractor is a firm or individual which: <br /> <br />1. is responsible for the results of the work to be undertaken, but is <br />not subject to the state's control as to the means and methods of <br />accomplishing these results; <br /> <br />y <br /> <br />Yes <br /> <br />No <br /> <br />2. selects his clients and is free to work for one or more during any <br />given interval; <br /> <br />y <br /> <br />Yes <br /> <br />No <br /> <br />3. determines the time and place the work will be performed; <br /> <br />y <br /> <br />Yes <br /> <br />No <br /> <br />4. provides the tools, materials and office space needed to perform <br />the work; <br /> <br />y <br /> <br />Yes <br /> <br />No <br /> <br />5. agrees to perform specific services for a fixed price and does not <br />receive regular payments at stated intervals. <br /> <br />y <br /> <br />Yes <br /> <br />No <br /> <br />6. If the contractor is an individual, has he or she previously been <br />an employee of the state? <br /> <br />Yes <br /> <br />y <br /> <br />No <br /> <br />If yes, give last date of employment. <br /> <br />Affirmative responses to items 1 through 5 <br />ship is that of an independent contractor. <br />submit a written explanation. <br /> <br />indicate that the relation- <br />For any neqative response <br /> <br />2 <br />