Independent Contractor Pre-Hire Worksheet Authorization Form
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1
2INDEPENDENT CONTRACTOR PRE-HIRE
WORKSHEET AUTHORIZATION
Vendor Name _______________________________ Contact _________________________________________
Contact Phone _______________________________ Contact Email ____________________________________
Division ____________________________________ College/Department _______________________________
1. Is this individual a current CSU employee?
Yes
No
If YES, stop here. Individual should not be hired as an independent contractor unless circumstance does
not conflict with State of California Public Contract Code. (See Section 4.C. of the Independent
Contractor Administrative Guidelines for further details.)
2. Was the individual a CSU employee any time during the last two years?
Yes
No
If YES, please contact Human Resources Management (Director, Human Resources Service Group) for
further direction before completing this Worksheet any further.
IRS DETERMINATION FACTORS
Before a worker is hired as an independent contractor, the following checklist must be completed to help
determine whether an employer/employee relationship exists. Check the box that applies.
IRS DETERMINATION FACTOR TABLE
Behavioral Control: Right to direct and control details and means by which worker performs services.
Employee
Contractor
Factor
Description
(Yes)
(No)
(1)Instructions
Will the university have the right to give the worker instructions about
when, where, and how he or she is to do the job? (Employees are subject
to this type of instruction, generally, independent contractors are not.)
(2)Training
Will the worker receive training from the university? (Employees generally
receive training from their employer, independent contractors typically
determine their own work methods.)
Financial Control: Right to direct and control economic aspects of the worker’s activities
Employee
Contractor
Factor
Description
(Yes)
(No)
(3)Significant
Has the worker failed to invest in facilities (such as an office) used to
Investment
perform services? (Employees generally do not personally own or rent an
office, shop or equipment.)
(4)Payment of
Will the university pay the worker’s business or travel expenses?
Expenses
(Employers pay all expenses for an employee, whereas independent
contractors often absorb these expenses.)
(5)Services
Does the worker not make his or her services available to other employers?
Available
(A worker who provides services for a number of unrelated persons or firms
is generally an independent contractor.)
(6)Payment by
Will the university pay the worker by the hour, week, or month rather than
Hour, Week,
by commission or by the job?
Month
(7)Realization
Will the arrangement prevent the worker from realizing a profit or suffering
of Profit or
a loss? (Employees are paid a salary whether or not the company is
Loss
profitable.)
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