MJR Industries LLC

MJR Industries LLC Contractor Onboarding

Welcome. Please fill out the form below to get set up as an independent contractor.

Your Information

Full legal name *

Phone *

Email *

Date of birth * Mailing address * Business name (if any)

Type of work / services offered * Work experience Special skills & certifications Do you have your own equipment / vehicle? *

General liability insurance?

Insurance carrier

Don't have insurance yet? No problem. MJR Industries has resources and can help you get set up with coverage at a later date.

Name *

Phone *

For tax purposes we'll send you an IRS Form W-9 separately. Please don't enter your Social Security number on this page.

You are an independent contractor, not an employee of MJR Industries LLC.
No taxes are withheld. You pay your own taxes. We issue a 1099-NEC if we pay you $600 or more in a year.
No employee benefits, unemployment or workers' comp from MJR Industries LLC.
You control how, when and where you do the work, and you may work for others.
You supply your own tools, equipment, vehicle and safety gear.
You're responsible for your own insurance (general liability, auto, and workers' comp if you have employees). Don't have it yet? MJR Industries can point you to resources.
You're paid per job or at an agreed rate, on invoice.
You follow all applicable safety laws, permits and customer site rules.
You keep customer information confidential.
You're responsible for damage caused by your own negligence.
Either party may end the relationship at any time.
You must complete a W-9 before you can be paid.

This is a general template, not legal advice. Have an attorney review it.

Type your full name as signature *

Date *

I have read and agree to the Independent Contractor Terms above.