1099 Questionnaire Deal Breaker Sheet
1. Is the candidate a current F.P.S. Inc. employee?
Yes
No
2. Is there a possibility that the contact will be a W-2 employee after their Independent Contractor status?
Yes
No
3. Was the individual a W-2 employee of the Firm any time during the last year? Did he or she provide the same or similar services that he or she is proposing as an Independent Contractor while an employee of the Firm?
Yes
No
4. Does the contact have a continuous, frequent and regular working relationship with the Firm?
Yes
No
5. Will the Firm have the right to give the contact instructions about when, where, and how he or she is to do the Job?
Yes
No
6. Will the Firm have the right to give specific training and/or instruction to the contact in order to complete the job?
Yes
No
7. Does the contact expect the Firm to Complete the RFIs, Bids, and RFPs on its behalf?
Yes
No
8. Does the contact expect the Firm to determine the best methods by which those assignments are to be completed/performed?
Yes
No
9. Does the contact expect the Firm to define the worker's expected daily routine such as his or her schedule or hours?
Yes
No
10. How does the contact expect to receive assignments?
11. Has the contact invested in facilities such as office, warehouse, workshop, and machine shop to be used to perform, the services offered?
Yes
No
12. Will the Firm pay the contact's business or travel expenses upfront?
Yes
No
13. Will the contact make his or her services available to other customers/clients?
Yes
No
14. Will the contact submit invoices for the work performed?
Yes
No
15. Will the contact realize a loss or profit?
Yes
No
16. Could the Firm terminate the contact at any time due to Project cancellation?
Yes
No
17. Does the contact understand that they will enter into an Independent Contractor contract?
Yes
No
18. Will the contact receive any employee benefits?
Yes
No
19. Will the contact provide F.P.S. with Workers Compensation and General Liability insurance coverage certifications?
Yes
No
20. Will the contact, provide F.P.S. proof of Federal, State, and Local quarterly tax filings and tax payment proof/confirmation of Fed-941-Q’s, State-Q-SUTAs-SDIs, Fed-940-Q.?
Yes
No
"Deal Breaker" means that the likelihood of an applicant being assessed as a 1099 is negative.
Questions 9 and 10, not really a Deal Breaker but important reference information.
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Version 9, Rev 10/15/2015
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