ࡱ> 796g bjbjVV .,r<r<||$$K22222   $C  22&&& 22&&&&2@+n$:&0K&^&& vT&D   "   K         | :  IRS FACTORS OF THE COMMON LAW TEST Health Science Center at Brooklyn Foundation Please consider the following factors in determining whether a worker is an employee or an independent contractor. Feel free to include additional information not covered by the Common Law Test that further clarifies or supports the workers classification. Submit this form and letter of offer with each standard voucher presented for payment by the Health Science Center at Brooklyn Foundation. 1. Is the Independent Contractor required to follow your instructions? Yes____ No______ (Employees must comply with another persons instructions on when, where and how the work is performed. If the firm (employerlbusiness) retains the right to control the details of the workers performance, then the relationship is more likely an employee relationship). 2. Does the firm provide training to the Independent Contractor? Yes____ No_____ (Independent contractors are not normally trained by the firm and use their own methods). 3. Are the services to be provided by the Independent Contractor an integral part of the firms day to day operations? Yes _____ No_____ (Employees services are usually a vital part of the daily operations of an employers operation). 4. Does the Independent Contractor have the ability to delegate work to others, or to hire, supervise and pay assistants? Yes______ No_____ (Employees personally perform the services whereas contractors may delegate such work to others) 5. Is the job of relatively short duration? Yes_____ No______ (Employees are usually hired for an ongoing period, whereas a contractors work ends when the job ends). 6. Is the Independent Contractor required to work set hours? Yes____ No_____ (Employees usually must adhere to a work schedule established by the employer). 7. Is the Independent Contractor required to work on a full time basis? Yes____ No _____ (Employees usually work full time for an employer whereas independent contractors work when and for whom they choose). 8. Where will the Independent Contractor perform the work? ________________________________________________ (Individuals who work on the firms premises may be viewed as employees) 9. Does the Independent Contractor have the freedom to perform the work in his/her own time and in his/her own way? Yes____ No____ (Individuals told to perform work in a certain sequence are generally considered to be employees) 10. Is the Independent Contractor required to submit, upon request, regular oral or written reports? Yes_____ No_____ (Employees are more likely to be required to submit regularly scheduled reports to the employer). 11. Is the Independent Contractor to be paid on a regular basis? Yes_____ No_____ (Typically, employees are paid on a regular basis whereas independent contractors are compensated by the job, lump sum or straight commission basis). 12. Are the travel expenses, if any, that are incurred by the Independent Contractor to be incorporated into his/her fee? Yes____ No_____ (Employer payments of a persons work related travel expenses that are paid on a separate travel voucher generally indicate employee status). 13. Does the Independent Contractor supply his own tools and materials? Yes_____ No_____ (Employers generally supply employees with tools and materials). 14. Does the Independent Contractor have a risk of loss? Yes_____ No______ (Independent contractors realize a profit or loss as the result of their services or performance). 15. Does the Independent Contractor have the freedom to work for more than one firm at a time? Yes____ No____ (Individuals who perform services for a number of employers are usually independent contractors). 16. a. Are the services to be provided available to the public? Yes_____ No____ b. Are the services advertised? Yes_____ No___ (Individuals who regularly make their services available to the general public are usually treated as independent contractors). 17. Does either party have the right to terminate the relationship at will without incurring any liability? Yes____ No____ (An employee can terminate his/her employment relationship with his/her employer at any time, whereas an independent contractor may not be dismissed or terminate a contract without consequences, e.g., breach of contract). 18. Is the Independent Contractor doing business as a corporation? Yes____ No____ 19. Does the Independent Contractor have a Federal Employment Identification number? Yes____ No____ If yes, please provide number, if it has not been provided with an invoice submission previously ____________________. 20. If no EIN number, does the Independent Contractor have a social security number? 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