Employee IC Paperwork

Employee IC Paperwork

This Independent Contractor Engagement Packet (the "Agreement") is entered into between Company Name: and Contractor Name: effective as of .

Personal & Business Information

Individual / Sole Proprietor LLC Corporation Other:

Engagement / Position Information

Weekly Bi-Weekly Monthly Other:

Employment History

Education

References

Legal Disclosures & Certifications

Independent Contractor Status: Contractor acknowledges and agrees that Contractor is engaged as an independent contractor and not as an employee. Contractor retains control over the method and manner of performing services, is responsible for payment of all federal, state and local taxes arising from compensation paid hereunder, and is not entitled to employee benefits. Company shall not control the means of performance except as to deliverables and schedules expressly set forth in this Agreement.

At-Will Employment Statement: To the extent any relationship or role established by separate agreement with Company could be construed to create an employment relationship, such relationship shall be governed by at-will employment principles and may be terminated by either party at any time, with or without cause or notice, except as provided in a separate written agreement signed by an authorized representative of Company.

Equal Opportunity: Company is committed to equal opportunity in all aspects of engagement, selection and treatment of contractors and resources. Contractor will not be discriminated against on the basis of protected characteristics under applicable law.

Contract Terms (Key Provisions)

Services: Contractor will provide the services described in the attached description of services or as otherwise agreed in writing. Contractor shall perform services in a professional manner consistent with industry standards.

Confidentiality and Intellectual Property: Contractor acknowledges that Contractor may have access to confidential, proprietary or trade secret information of Company. Contractor agrees to hold such information in strict confidence and not to use or disclose such information except to perform services. Contractor hereby assigns to Company all right, title and interest in any inventions, works of authorship, developments or improvements conceived or developed in the course of performing services and agrees to execute necessary documents to effectuate assignment.

Taxes and Benefits: Contractor is solely responsible for all taxes and other obligations arising from compensation paid to Contractor. Contractor acknowledges that Contractor is not eligible for Company benefits, insurance, paid leave or other employment benefits.

Insurance and Indemnification: Contractor shall maintain general liability and, where applicable, professional liability insurance in amounts sufficient to cover claims arising from Contractor’s performance. Contractor shall indemnify, defend and hold Company harmless from and against any claims, damages, losses or expenses arising from Contractor’s acts or omissions.

Termination: Either party may terminate the engagement upon written notice for material breach that remains uncured after a reasonable cure period, or immediately for material misconduct. Upon termination Contractor shall deliver all work product and return Company property.

Governing Law and Venue: This Agreement shall be governed by the substantive laws of the state indicated by Company and disputes shall be resolved in the courts located in the county where Company’s principal office is located unless otherwise agreed in writing.

Entire Agreement: This document, together with any attachments and written statements of work, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior agreements and understandings.

Authorizations & Certifications

Authorization to Contact Employers and References: Contractor authorizes Company and its agents to contact current and former employers and references to verify information and obtain additional information relevant to Contractor’s qualifications and performance. Contractor releases Company and its agents from liability for seeking such information.

Background Check Consent: Contractor consents to background checks, credit or other verifications as required for performance of duties. Consent is given to obtain and use such reports for engagement decisions.

Applicant Certification: I certify that all information provided in this packet is true, complete and correct to the best of my knowledge. I understand that any willful misstatement may be grounds for termination of the engagement or agreement.

Authorization to Work and Licenses: Contractor certifies that Contractor has the legal right to perform the services described and holds all licenses, permits and certifications required by applicable law to perform the services. Contractor will provide copies of licenses upon request.

Additional Notes / Attachments

Acknowledgment

By signing below, Contractor and Company Representative each acknowledge that they have read, understand and agree to the terms and conditions set forth in this packet and any referenced attachments. Contractor affirms that the contractor relationship is not an employment relationship and that Company shall not withhold taxes or provide benefits reserved for employees.

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