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Click ‘Get Form’ to open the declaration of independent contractor status form in our editor.
Begin by entering your name and trade name in the designated fields at the top of the form. This identifies you as the independent contractor.
Fill in the type of work you will be performing, ensuring it accurately reflects your services.
Provide your Social Security number or Federal Employer Identification number, along with your phone number and address for contact purposes.
In the section regarding the policyholder, input 'BLUE STAR CONSTRUCTION, INC.' along with their policy number and contact details.
Review each criterion listed on the form. Initial where applicable to certify that both you and the business meet these criteria for independent contractor status.
Sign and date the certification section as an acknowledgment of understanding your responsibilities as an independent contractor.
Ensure that a notary public witnesses your signature and completes their section to validate the document.

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