Subcontractor Onboarding Form

SUBCONTRACTOR ONBOARDING FORM

Engagement Identification

Client Name:

Company Representative:

Date Submitted:

Personal Information

Entity and Tax Information

Entity Type (check all that apply):

Individual    Sole Proprietor    LLC    Corporation

Position and Engagement Details

Anticipated Start Date:    Estimated End Date:

Insurance & Compliance

Does the subcontractor maintain general liability insurance with a minimum coverage amount? Yes    No

Does the subcontractor maintain workers' compensation as required by applicable law? Yes    No

Employment / Engagement History (Most Recent First)

Dates Employed: From   To

Dates Employed: From   To

Education

Professional References

Legal Disclosures, Certifications and Authorizations

Independent Contractor Status: The subcontractor acknowledges that the engagement contemplated by this form creates an independent contractor relationship. The subcontractor is responsible for all taxes, withholdings and other statutory obligations arising from compensation paid. The subcontractor shall not represent itself as an employee, partner, or agent of the client except as expressly authorized in writing.

Equal Opportunity: The client is committed to the fair selection of subcontractors without unlawful discrimination. Selection is made on the basis of qualifications, experience and business need.

Confidentiality and Intellectual Property: The subcontractor agrees to hold confidential all non-public information obtained during the engagement and to assign to the client all work product and inventions conceived or developed in the course of performing the services, unless a separate written agreement specifies otherwise.

Insurance and Indemnity: The subcontractor represents that it maintains the insurance indicated above and agrees to indemnify, defend and hold harmless the client from any claims, liabilities, losses or expenses arising out of the subcontractor's performance, negligence or breach of obligations under this engagement.

Termination: Either party may terminate the engagement for convenience upon written notice as set forth in the contract. Payment obligations for services rendered prior to termination shall survive termination.

Background Check and Authorization

Authorization: I authorize the client and its agents to obtain and review information concerning my employment history, professional references, criminal history, and other pertinent background information as necessary to evaluate my suitability for this engagement. I understand that such screening is a condition of onboarding and continued engagement.

Background Check Consent: I consent to background checks    I do not consent

Applicant / Subcontractor Certification

I certify that all information provided in this Subcontractor Onboarding Form is true, complete and accurate to the best of my knowledge. I understand that any material misrepresentation or omission may disqualify me from engagement or result in immediate termination of any engagement. I authorize the client to contact the references and prior employers listed and to verify any information provided herein.

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