Independent Contractor Agreement

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Contact Information
Email*
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Independent Contractor Information
Independent Contractor's Name*
Contractor's Entity Type*
Contractor's State of Formation*
Contractor's Representative*
Contractor Representative's Title*
Independent Contractor's Address*
Street Address Address Line 2 City State ZIP Code

Services & Deliverables
What are the services to be provided by the Contractor?*
What deliverables or output does the Contractor need to produce or create?*
Description Due Date
Is the Contractor allowed to subcontract work?*
- Yes
- No
Will the deliverables be subject to review by the Client?*
- Yes
- No
How many revisions are allowed?*
How many days will the Client have to give the review of each submission?*
How many days will the Contractor have for revision after receiving Client's review?*
Is the Contractor required to report to an office or be available at specific times?*
- Yes
- No
Where or how should the Contractor report?*
- Report in-person to client's address
- Report remotely via communication channel(s)
Contractor's Reporting Schedule*

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Description	Due Date

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