Independent Contractor Classification Questionnaire
Help determine the proper classification of a worker as an independent contractor or employee by answering the following questions.
Business/Organization Name
*
Contractor's Full Name
*
First Name
Last Name
Contractor's Email Address
*
example@example.com
Contractor's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Project or Engagement Title
*
Describe the main duties or services provided by the contractor.
*
Engagement Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How is the contractor paid?
*
By the hour
By the project
By salary
Other
Please indicate the extent to which the following statements apply to the contractor's work arrangement.
*
Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The contractor sets their own work hours.
1
2
3
4
5
The contractor provides their own tools/equipment.
6
7
8
9
10
The contractor may work for other clients simultaneously.
11
12
13
14
15
The business provides detailed instructions on how work is to be performed.
16
17
18
19
20
The contractor is reimbursed for business expenses by the company.
21
22
23
24
25
The contractor receives training from the business.
26
27
28
29
30
The contractor's services are integral to the core business operations.
31
32
33
34
35
The relationship is expected to continue indefinitely.
36
37
38
39
40
Does the contractor have the right to hire assistants or subcontract work?
*
Yes
No
Not sure
Does the business provide benefits (such as paid leave, health insurance, or retirement plans) to the contractor?
*
Yes
No
Not sure
Please provide any additional comments or relevant information regarding the contractor's classification.
Submit Questionnaire
Should be Empty: