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Get Declaration Of Independent Contractor Status Form

Provided and endorsed by Employers Compensation Insurance Company. By completing this form, you are declaring your status as an independent contractor and not an employee of CEAVCO. Please review, sign, have notarized, and return both copies to me at your earliest convenience. Should you have any questions, please feel free to contact me at 303-539-3504. We are also requiring our independent contractors to obtain an Employer Identification Number (EIN) as well as a trade name from their state.

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