De 542 Form PDF Details

In the realm of business operations and contractor engagements within the United States, the DE 542 form, officially titled "Report of Independent Contractor(s)," emerges as a crucial document for businesses and government entities alike. This form is specifically designed to report hiring independent contractors to the Employment Development Department (EDD) in California. When a business or government entity, referred to as the "Service-Recipient," pays an independent contractor, denoted as the "Service-Provider," $600 or more, or enters into a contract with them exceeding this sum within any calendar year, this transaction must be reported within 20 days. The purpose of reporting is multifaceted, aiming to assist state and county agencies in tracking down parents delinquent in child support obligations among other uses. The document demands detailed information, including the Federal Employer Identification Number (FEIN), social security numbers, contract amounts, and the start and expiration dates of said contract, ensuring a comprehensive account of the engagement. Moreover, the DE 542 form includes specific instructions on completion, emphasizing clarity and accuracy in its execution. Entities required to file must adhere to these guidelines, either through typewriting or handwriting, and submit the completed form via fax or mail. Additionally, resources for assistance and further clarification, including web pages and contact numbers, are readily available for those navigating the reporting process. The DE 542 form thus stands as a testament to the structured oversight maintained over independent contractor engagements, underlining the importance of accurate and timely reporting in the broader spectrum of employment and tax regulation.

QuestionAnswer
Form NameDe 542 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesde542, de 542, edd independent contractor, de 542 edd

Form Preview Example

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPORT OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INDEPENDENT CONTRACTOR(S)

05420101

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See detailed instructions on reverse side. Please type or print.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERVICE-RECIPIENT (BUSINESS OR GOVERNMENT ENTITY):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

FEDERAL ID NUMBER

 

 

 

 

CA EMPLOYER ACCOUNT NUMBER

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERVICE-RECIPIENT NAME / BUSINESS NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTACT PERSON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SERVICE-PROVIDER (INDEPENDENT CONTRACTOR):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

MI LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

STREET NUMBER

 

 

STREET NAME

 

 

 

 

 

 

 

 

UNIT/APT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

START DATE OF CONTRACT

 

 

AMOUNT OF CONTRACT

 

 

 

 

 

 

 

 

CONTRACT EXPIRATION DATE

 

CHECK HERE IF CONTRACT IS ONGOING

 

,

M M D D Y Y

,

.

M M D D Y Y

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

MI

 

 

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

STREET NUMBER

 

 

STREET NAME

 

 

 

 

 

UNIT/APT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

START DATE OF CONTRACT

 

 

AMOUNT OF CONTRACT

 

 

 

 

 

 

 

 

CONTRACT EXPIRATION DATE

 

CHECK HERE IF CONTRACT IS ONGOING

,

M M D D Y Y

,

.

M M D D Y Y

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

MI

 

 

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

STREET NUMBER

 

 

STREET NAME

 

 

 

 

 

 

UNIT/APT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

START DATE OF CONTRACT

 

 

AMOUNT OF CONTRACT

 

 

 

 

 

 

 

 

CONTRACT EXPIRATION DATE

 

CHECK HERE IF CONTRACT IS ONGOING

,

M M D D Y Y

,

.

M M D D Y Y

MAIL TO: Employment Development Department  PO Box 997350, MIC 96  Sacramento, CA 95899-7350

or Fax to 916-319-4410

DE 542 Rev. 9 (6-17) (INTERNET)

Page 1 of 2

INSTRUCTIONS FOR COMPLETING ALL OF THE ELEMENTS ON THE

REPORT OF INDEPENDENT CONTRACTOR(S), DE 542

WHO MUST REPORT:

Any business or government entity (defined as a “Service-Recipient”) that is required to file a federal Form 1099-MISC for service performed by an independent contractor (defined as a “Service-Provider”) must report. You must report to the Employment Development Department (EDD) within 20 days of EITHER making payments of $600 or more OR entering into a contract for $600 or more with an independent contractor in any calendar year, whichever is earlier. This information is used to assist state and county agencies in locating parents who are delinquent in their child support obligations.

An independent contractor is further defined as an individual who is not an employee of the business or government entity for California purposes and who receives compensation or executes a contract for services performed for that business or government entity either in or outside of California. For further clarification, request Information Sheet: Employment Work Status Determination, DE 231ES. See below for information on how to obtain additional forms.

YOU ARE REQUIRED TO PROVIDE THE FOLLOWING INFORMATION THAT APPLIES:

Service-Recipient (Business or Government Entity)

Federal Employer Identification Number (FEIN)

California employer payroll tax account number (if applicable)

Social Security number

Service-recipient name/business name, address, and phone number

Contact person

HOW TO COMPLETE THIS FORM:

Service-Provider (Independent Contractor)

 First name, middle initial, and last name  Social Security number (do not use FEIN)  Address

Start date of contract (if no contract, date payments equal $600 or more)

Amount of contract (including cents)

Contract expiration date or check the box if the contract is ongoing

If you use a typewriter or printer, ignore the boxes and type in UPPER CASE as shown. Do not use commas or periods.

FIRST NAME

 

 

 

 

 

 

MI

 

 

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IMOGENE

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

SAMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

STREET NUMBER STREET NAME

 

 

xxxxxxxxx

 

 

 

 

 

 

 

12345

 

 

 

 

MAIN

STREET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT / APT.

301

If you handwrite this form, print each letter or number in a separate box as shown. Do not use commas or periods.

FIRST NAME

MI

LAST NAME

I M O G E N E

SOCIAL SECURITY NUMBER

STREET NUMBER

A S A M P L E

STREET NAME

UNIT / APT.

X X X X X X X X X

ADDITIONAL INFORMATION:

1 2 3 4 5

M A I

N

S T R E E T

30

1

If you have questions concerning the independent contractor reporting requirement, you may visit our web page at www.edd.ca.gov/Payroll_Taxes/Independent_Contractor_Reporting.htm, call the New Employee Registry and Independent Contractor Reporting at 916-657-0529, call the Taxpayer Assistance Center at 888-745-3886, or visit your local Employment Tax Office listed in the California Employer’s Guide, DE 44, and on our web page at www.edd.ca.gov/Office_Locator/.

To obtain additional DE 542 forms:

Visit the EDD website at www.edd.ca.gov/Forms/.

For 25 or more forms, call 916-322-2835.

For less than 25 forms, call 916-657-0529 or call 888-745-3886.

HOW TO REPORT:

For a fast, easy, and secure way to report your independent contractor information, use e-Services for Business. For more information or to enroll, visit www.edd.ca.gov/e-Services_for_Business.

To file a paper DE 542 form, complete all of the information on the reverse side of this form and fax it to 916-319-4410 or

mail it to:

EMPLOYMENT DEVELOPMENT DEPARTMENT

PO Box 997350, MIC 96

Sacramento, CA 95899-7350

DE 542 Rev. 9 (6-17) (INTERNET)

CU

 

Page 2 of 2

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This PDF doc needs some specific information; in order to guarantee consistency, please be sure to pay attention to the suggestions listed below:

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Part # 1 of completing independent report

2. Once your current task is complete, take the next step – fill out all of these fields - START DATE OF CONTRACT, AMOUNT OF CONTRACT, CONTRACT EXPIRATION DATE, CHECK HERE IF CONTRACT IS ONGOING, FIRST NAME, LAST NAME, SOCIAL SECURITY NUMBER, STREET NUMBER, STREET NAME, U N I T A P T, CITY, STATE, ZIP CODE, START DATE OF CONTRACT, and AMOUNT OF CONTRACT with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

independent report completion process clarified (part 2)

Be extremely careful while filling in CONTRACT EXPIRATION DATE and LAST NAME, as this is where a lot of people make a few mistakes.

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