Authorization Number : 800-0781
Agency Series No. : 01-08
Status : Active
Agency Web Link :
Agency : COM
Confidential Description :
Division : COMADM1
Vital Description :
Section : COMADM1FISC
Record Title : Independent Contractor Acknowledgement
Revision : 0
Record Description : A form is presented to an independent contractor performing personal services for the Department of Commerce. This form is required for the contractor to acknowledge that he is not considered a public employee and will not have deductions withheld for OPERS in accordance with ORC 145.038. This form contains the contractor''s name, social security number, start and end date of work, and other relevant information.