Austin Contractor Information 2023

Contractor Information

Austin 2023
Position
BartenderBanquet ServerCashierCookDishwasherFood RunnerHousekeeperPrep CookWarehouseOther
Personal Information
Full Name*

NombreApellido
Date of Birth*

MonthDayYear
Fecha de Nacimiento
Address*

Street Address/Direccion

Apt. Number/Numero de Apartamento

City/CiudadState/Estado

Zip Code/Codigo Postal
Phone Number*
Numero de Telefono
Social Security Number (SSN)
(one digit per space)

Number*   Number*    Number*   -
Number*    Number*   -
Number*    Number*   Number*   Number*
Upload a photo of a valid U.S. Identification card*

Cancelof
Upload a photo of your Social Security Card (SSN)*

Cancelof
YesNo
YesNo
YesNo
EnglishSpanishOther
YesNo
YesNo
Availability
SundayMondayTuesdayWednesdayThursdayFridaySaturday
Experience (if applicable)
Previous Employment

Previous Position/Role

Company

Start DateEnd Date

Previous Supervisor Name
Certifications
YesNo
YesNo
YesNo
References (if applicable)
Reference

Name

Relationship

CompanyPhone Number

Email
FacebookInstagramSearch EngineNewspaperReferralOther
Disclaimer and Acknowledgement
I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release from the company.
Signature*

Clear
Date*

MonthDayYear
Fecha
Request for Taxpayer Identification Number and Certification

Form W-9
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.*

First NameLast Name
2 Business name/disregarded entity name, if different from above
3 Check the appropriate box for federal tax classification of the person whose name is entered on line 1.
Individual/sole proprietor or single-member LLCC CorporationS CorporationPartnershipTrust/estateLimited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)Other
If you selected "Limited liability company": Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Exempt payee code (if any)
Exemption from FATCA reporting code (if any)
Address*

Street Address

Apt. Number

CityState / Province

Postal / Zip Code
Social Security Number (SSN)
(one digit per space)

Number*   Number*    Number*   -
Number*    Number*   -
Number*    Number*   Number*   Number*
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Contractor Information

Position

Personal Information

Availability

Experience (if applicable)

Certifications

References (if applicable)

Disclaimer and Acknowledgement

Request for Taxpayer Identification Number and Certification