Employment Status Determination

1. About you and the work

NB: Client may be an agency or the end-client.
Please provide name of agency

2. Worker's Duties

3. Subsitute and Helpers

4. Working Arrangements

5. Worker's Financial Risk

6. Worker's Involvement

As working for the end-client or working for yourself?

7. Worker's Contract

7. Bank Account Information

If Yes, please provide if applicable: Previous Accountant's Information