INDEPENDENT CONTRACTOR INVOICE
COMPANY NAME:
ADDRESS:
INVOICE NO.: DATE:
FOR SERVICES AS: _______________________________________________ [describe what services the
contractor will perform]
It is hereby understood and agreed as follows:
1. That I am being retained by you in my capacity as an independent contractor and not as an
employee.
2. That I will be responsible for the payment of any federal, [state/provincial], or local taxes and
any other remittances which may be due with respect to any sums paid to me.
3. That I will indemnify and hold you harmless from any and all costs, liability, damages, or claims
arising from or relating to my being retained by