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case western reserve university

PROCUREMENT AND
DISTRIBUTION SERVICES
 

Independent Contractor

Please fill out all fields completely to ensure timely processing.  If you have any questions, please contact John Kane at 368-8540, or via e-mail at indcontractor@case.edu .
Case User Information
Requestor Name
Requestor E-mail
Case Primary Investigator/Project Manager(s)
Department(s)
Phone
E-mail
SpeedType
People Soft Requisition Number

E-mail contract copies to
Enter recipient addresses separated by commas

Contractor Information
Contractor Name
Contractor Address 1
Contractor Address 2
Contractor City
Contractor State
Contractor Zip
 
Business or Individual
Contact for Legal Notice to Contractor
Contact name
Contact Organization
Contact Address 1
Contact Address 2
Contact City
Contact State
Contact Zip
Contact Phone
Contact Fax
Contact E-mail
Project Duration
Start Date
End Date
Compensation (budget information)
Not-to-exceed amount
   


Terms of Payment
including: frequency of invoicing and to whom invoices should be submitted:


Scope of Work

Attachments can be e-mailed to indcontractor@case.edu


The Internal Revenue Service (IRS) has very specific guidelines regarding the hiring of individuals as independent contractors. For more information, you may visit Procurement's Independent Contractor website(whatever address will be). These steps have been taken to avoid substantial penalties incurred when individuals who should be hired as temporary employees are instead hired as independent contractors.

 

To help document compliance with IRS regulations, please answer the following questions (yes or no answers):

Does this individual provide essentially the same service as an employee of the university?
Has this individual previously been paid as a university employee to perform essentially the same tasks?
Does the university have the legal right to control how the individual will perform or accomplish this service?
Will the individual supervise or direct university employees as part of the service provided?
Is it currently expected that the university will hire this individual as an employee immediately following the termination of the contractual service provided?

 

In addition, please provide a clear written justification as to why this individual should be an independent contractor and not a temporary or term employee, including information regarding his/her background, qualifications, expertise, etc.

Attachments can be e-mailed to indcontractor@case.edu