ADMINISTRATIVE PROCEDURES MANUAL
STATEMENT 4, CONTRACTUAL & CONSULTANT SERVICES
NORTH CAROLINA STATE UNIVERSITY
"CHECKLIST FOR DETERMINATION OF INDEPENDENT CONTRACTOR STATUS"
To ensure that agreements or contacts with individuals are properly
classified for employment status according to Internal Revenue
Service guidelines, this checklist MUST be completed for all
personal service contracts and forwarded to the Purchasing
Department with the contract or agreement for review.
For the individual to be categorized as an independent contractor
and not an employee, the answers to the majority of the following
questions should be YES. If you have any questions or need
assistance in completing the checklist, please call the University
Controller at 5-3824. If the contract does not address the stated
issue, please indicate "not stated."
YES NO
1. Does the contract state that the
University has no right to control how
the work is performed? (Note: Control
level is only on an end product or result.) _____ _____
2. Does the contract state how the
independent contractual obligations are
met? _____ _____
3. Does the contract state that the
independent contractor has a right to hire
and fire assistants? _____ _____
4. Does the contract state that the independent
contractor will treat controlled assistant
as employees of the contractor and
comply with all tax requirements? _____ _____
5. Is the independent contractor paid by the
job, rather than by the hour? _____ _____
6. Is the independent contractor viewed as a
skilled worker? _____ _____
7. Is the independent contractor hired for a
specified time period? _____ _____
8. Are the hours of work set by the
independent contractor? _____ _____
9. Does the independent contractor advertise
and project an image to the public as an
individual in private business? For
example, does the independent contractor
utilize business cards, advertise in the
yellow pages or advertise on the side of a
truck or van? _____ _____
10. Does the University consistently refer to
the worker as an independent contractor
in letters, memoranda, invoices, check
stubs, and other correspondence between
the parties? _____ _____
11. Does the independent contractor furnish
the tools used? _____ _____
12. Is the independent contractor engaged by
the University to do something that is
not part of the day-to-day operations of
the University? _____ _____
ADDITIONAL COMMENTS:
______________________________________________
Contractor Name
______________________________________________
Contractor FID/SSN Identification
______________________________________________
Date of Contract
Prepared by: ______________________________________________
Name
______________________________________________
Title
______________________________________________
Phone No.
Rev. (07/2000)
Return to Contractual Services