Independent Contractor Details
Complete information as necessary.
Personal Information
Name
*
First Name
Last Name
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State
Post Code
Secondary Contact
If applicable
Name
First Name
Last Name
Phone Number
*
Business Details
Business Name
*
ABN
*
Business Address - If not as above
Street Address
Street Address Line 2
City
State
Post Code
Business Phone Number
*
Business Email
*
example@example.com
Back
Next
Bank Details
Account Name
*
Account Details
*
BSB
Account
Payment Details
Payment Terms
*
Weekly
Fortnightly
Not Sure
Pay Rates
*
File Upload- White Card / Red Card
*
Browse Files
Drag and drop files here
Choose a file
Please upload a photo of White Card / Red Card
Cancel
of
File Upload- Other
Browse Files
Drag and drop files here
Choose a file
Please upload a photo of any other licence required- Eg Boom Pump Licence
Cancel
of
Employee Signature
*
Date
*
-
Day
-
Month
Year
Date
Submit Form
Submit Form
Should be Empty: