Independent Contractor Application PDF Details

Are you looking for a new opportunity as an independent contractor? If so, you'll want to complete the Independent Contractor Application Form. This form is used by businesses to assess your qualifications and determine if you are a good fit for an open position. Completing the form accurately and thoroughly will help ensure that your application is considered. Be sure to include all relevant information, including your skills and experience.

This information will help you comprehend better the details of the independent contractor application before you begin filling it out.

QuestionAnswer
Form NameIndependent Contractor Application
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesE-mail, CVVC, WY, Licensee

Form Preview Example

Board of Cosmetology

2515 Warren Ave., Suite 302Cheyenne, WY 82002

Phone Number 307-777-3535

Fax Number 307-777-3681

APPLICATION FOR NEW INDEPENDENT CONTRACTOR LICENSE

(Print or Type In Black Ink)

1.Independent Contractor licenses expire on August 31st of each year and must be renewed on or before that date. Late fees will be imposed for late license renewals as is stated on the renewal application. NO REMINDER NOTICES ARE SENT.

2.

An Independent Contra tor’s li ense annot e transferred to another Independent Contractor.

3.If you relocate, you must take your independent contractor license and inspection sheet.

License Fee: $75.00

*Independent Contractors must practice within licensed salon or in accordance with Wyoming Rule, Chapter 9.

Date ________________________________________

Type of personal license _______________________________________ _______

Your name _____________________________________________________________________________________ Social Security # _________-______- _________

Home & Mailing address: _____________________________________________________________________City, State, Zip _______________________________________

Personal license # ___________ Salon license#__________ Phone (

) ___________________________ (work) (

) ____________________________ (home)

Cell Phone (

)_______________________________

E-mail address: __________________________________________________

At the time of application what Salon are you working in? ___________________________________________________________City ______________________________

The undersigned says that he/she is acknowledging that the foregoing statements are made in good faith and are true in every respect.

Signature of Licensee _____________________________________________________

If you are a salon owner, you do not need an Independent Contractor’s license

For Board Use Only:DATE PROCESSED ______________________________

AMOUNT PROCESSED ______________________________

AUTHORIZATION CODE ______________________________

(This information will be shredded after processing)

To pay with Credit Card please complete the following form.

A processing fee of $4.00 will be charged for credit card use for a total of $79.00.

WHEN COMPLETING CREDIT CARD INFORMATION USE BLACK INK AND PRINT CLEARLY

Indicate card using: [ ] VISA

[] MASTERCARD

[] DISCOVER

Card Number

 

 

CVVC Code _________(on back of card)

Expiration Date __________________

Phone # (307)

Name on Card

 

 

 

 

 

Billing Address

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

________________________________________________

Revised 2/2011 w/f/applications

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