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Acknowledgment of Independent Contractor Status

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					This Acknowledgment of Independent Contractor Status agreement details an
independent contractor's services and rates for services, as well as includes provisions
related to tax implications and the contractor's status as an independent contractor.
This document contains both standard clauses as well as opportunities for
customization to ensure that the understandings of the parties are properly set forth. It is
useful for companies and small businesses that hire independent contractors to confirm
their status as an independent contractor, and this document serves that purpose.
 ACKNOWLEDGEMENT OF INDEPENDENT CONTRACTOR STATUS
                   AGREEMENT
      THIS ACKNOWLEDGEMENT OF INDEPENDENT CONTRACTOR STATUS
AGREEMENT (the “Agreement”) is made and entered into as of this ___ day of
____________, 20__ by and between ____________________ (the “Company”) and
___________________ (the “Independent Contractor” or “IC”).

       WHEREAS, Company wishes to retain IC to perform certain services in the capacity of
independent contractor;

       WHEREAS, IC wishes to perform such services in exchange for the compensation
designated herein;

    NOW THEREFORE, in consideration of the mutual promises, covenants, warranties, and
other good and valuable consideration as set forth herein, Company and IC hereby agree as
follows:

   1. PURPOSE OF ENGAGEMENT: IC shall perform the following functions:

      A. __________________________________________________
      B. __________________________________________________
      C. __________________________________________________
      [Comment: DESCRIBE PURPOSE OF ENGAGEMENT AND FUNCTIONS TO
      BE PERFORMED BY IC].

   2. COMPENSATION: Company shall pay a fee to IC in the following manner:

      A. __________________________________________________
      B. __________________________________________________
      C. __________________________________________________
      [Comment: DESCRIBE IN DETAIL THE PAYMENT TERMS. IC SHOULD BE
      PAID EITHER A COMMISSION, A CERTAIN RATE PER HOUR, OR
      PIECEMEAL (BY UNIT OF PRODUCTION). IF YOU PAY AN IC BY SALARY,
      IT IS LESS LIKELY THAT A COURT WILL DEEM THE IC AN
      INDEPENDENT CONTRACTOR].

      Company acknowledges that IC will not be paid a salary and is not entitled to any
      medical, dental or vision, pension, retirement, or profit sharing plan or any other fringe
      benefit that may accrue to Company employees.

   3. RELATIONSHIP OF PARTIES: The relationship of the Parties is that of independent
      contractors. Nothing contained in this Agreement and no action by either Party shall be
      deemed to constitute any Party or any of such Party’s employees or agents to be an
      employee or agent of the other Party or shall be deemed to create any partnership, joint
      venture, association, syndicate among or between any of the Parties, or shall be deemed


© Copyright 2013 Docstoc Inc.                                                          2
      to confer on any Party any express or implied right, power, or authority to enter into any
      agreement or commitment, express or implied, or to incur any obligation or liability on
      behalf of the other Party.

   4. TAXES

      A. Payment. IC is solely responsible for determination and payment of any taxes,
         including but not limited to any federal, state, local or foreign taxes, and any sales or
         use taxes, required to be collected or paid in connection with the transactions
         contemplated by this Agreement and IC shall indemnify Company against any and all
         such taxes.

      B. Withholding. Company shall be entitled to deduct and withhold from any payments
         pursuant to this Agreement in such amounts as may be required to be deducted or
         withheld therefrom pursuant to any provision of federal, state, local, or foreign tax
         law or any other applicable legal requirement. To the extent such amounts are so
         deducted or withheld, such amounts shall be treated for all purposes under this
         Agreement as having been paid to the person to whom such amounts would otherwise
         have been paid.

      C. Reporting. If IC is a U.S. taxpayer and receives payments from Company of ____
         dollars ($__) or more in a tax year, Company will issue IC an Internal Revenue
         Service (“IRS”) Form 1099 reporting such payments. If requested by Company, IC
         must complete and return, via fax or mail, an IRS Form W-9 (Request for Taxpayer
         Identification Number and Certification) as well. If IC receives payments from
         Company of less than ____ dollars ($__) in a tax year, it is IC’s responsibility to
         report such payments to the IRS.

       IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed the
day and year first above written.


COMPANY                                     IC

_______________________________             _________________________________

Signature_______________________            Signature_________________________

Print Name______________________            Print Name________________________




© Copyright 2013 Docstoc Inc.                                                            3
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DOCUMENT INFO
Description: This Acknowledgment of Independent Contractor Status agreement details an independent contractor's services and rates for services, as well as includes provisions related to tax implications and the contractor's status as an independent contractor. This document contains both standard clauses as well as opportunities for customization to ensure that the understandings of the parties are properly set forth. It is useful for companies and small businesses that hire independent contractors to confirm their status as an independent contractor, and this document serves that purpose.
This document is also part of a package Independent Contractor Starter Kit 21 Documents Included