Join the Drivers Cooperative Colorado – Driver Intake Form

According to the Colorado Workers' Compensation Act, an individual worker is an independent contractor, not an employee, if both of the following statements are true.

1. The individual is free from control and direction in the performance of the service (unless control is exercised under the requirement of any state or federal statute or regulation

2. The individual is customarily engaged in an independent trade, occupation, profession, or business related to the services performed.

The Colorado Workers' Compensation Act also outlines nine criteria (listed on page 2) to help determine whether or not the above statements are true. For an individual to be considered an independent contractor, they must meet only those criteria that are appropriate to the situation. The individual does not need to meet all of the nine criteria.

This Declaration of Independent Contractor Status Form documents the business relationship as defined in the Colorado Workers' Compensation Act. It is the responsibility of contracting parties to correctly and truthfully complete this form. If you do not understand this form, do not sign it.

Please make copies of this form as needed. You should complete this form only once for each independent contractor for the life of their services or until the business relationship changes.

We certify UNDER PENALTY OF PERJURY that (insert contractor’s name and trade name below

We also certify, by OUR initials WHERE APPLICABLE, that the above business for which the above individual performs services meet the following criteria,

1. The business DOES NOT require the individual to work ONLY for the business for whom services are performed (except that the individual may DECIDE to work only for the business for a definite period);

2. The business DOES NOT establish a quality standard for the individual (except that the business may provide plans and specifications regarding work but cannot oversee the actual work or instruct the individual as to how work will be performed);

3. The business DOES NOT pay the individual a salary or an hourly rate instead of a fixed or contract rate;

4. The business DOES NOT terminate the work or the service provided during the contract periodunless the individual violates the terms of the contract or fails to produce a result that meets thespecifications of the contract;

5. The business DOES NOT provide more than minimal training for the individual

6. The business DOES NOT provide tools or benefits to the individual (except that materials andequipment may be supplied);

7. The business DOES NOT dictate the time of performance (except that a completion schedule anda range of agreeable work hours may be established);

8. The business DOES NOT pay the individual personally instead of making payment or checkspayable to the trade or business name of the individual;

9. The business DOES NOT combine the business operations in any way with the individual’sbusiness operations instead of maintaining all such operations separately and distinctly

The independent contractor understands that such individual:

(1) Will not be entitled to any workers' compensation benefits in the event of injury;

(2) Is obligated to pay all federal and state income tax on all money earned while performing services for the business;

(3) Is required to provide workers' compensation insurance for all workers that they hire.

Rights as a member of the co-operative

As a member of the Drivers Cooperative-Colorado, I am entitled to:

• The right to vote (one vote per person, not per share);
• The right to serve as a leader (i.e. board director);
• The right to information;
• The right to speak your mind.
   

Responsibilities as a member of the cooperative

• Support the mission, vision, and goals of the cooperative.
• Purchase a Membership Interest in the Cooperative by agreeing to pay the membership Fee of $300 as a one-time fee or through installments.
• Participate in the governance of the cooperative through attendance of general meetings, voting on decisions, and participating on boards and committees.
• Adhere to the policies and procedures of the cooperative set out in the organizational documents and created by the Board.
• Comply at all times with Colorado TNC regulations.
• Maintain good standing as a Driver member.

Tax Obligation as an independent Contractor

• I will pay tax as an independent contractor, not an employee with the Drivers Coop-Colorado.
• I am free from control and direction in the performance of the service (unless control is exercised under the requirement of any state or federal statute or regulation.)
• I am customarily engaged in an independent trade, occupation, profession, or business related to the services performed.
• I Will not be entitled to any workers’ compensation benefits in the event of injury;
• I am obligated to pay all federal and state income tax on all money earned while performing services for the business; 

Obligations of the cooperative to members

As a member of the cooperative, I understand that the cooperative is obligated to:

• Provide notice of meetings and information on ways that I can participate in the co-operative governance.
• Maintain a transparent and efficient system of decision-making that is inclusive of the membership and supportive of the mission and vision of the cooperative.
• Conduct business, through staff, that is in the best interest of the co-operative and its members.
• Use my financial contribution effectively and responsibly.

Declaration

I understand the rights and responsibilities of membership in the Drivers Cooperative-Colorado and I agree to act in accordance with the terms and conditions of this membership agreement. I also give the cooperative authority to do a criminal background check to confirm my eligibility of membership with the cooperative.