University Home | Hospital | Pulse Employment | Contact Us | Search | News 
Thomas Jefferson University Search Jefferson
Jefferson Medical College Jefferson College of Graduate Studies Jefferson College of Health Professions
Menu

Guide To Services > Use Our Forms > Independent Contractor Agreement

Independent Contractor Agreement

The Independent Contractor Agreement is completed for individuals who are deemed independent contractors and who receive payment through the Accounts Payable system. The agreement outlines the nature of the work to be performed, terms of payment, and other pertinent information related to the independent contractor’s relationship with TJU. For a more detailed explanation, refer to TJU Policy #103.19. A copy of the form is available through the Accounts Payable Office (X3-6475).

Instructions:

  1. Provide the department head’s name.
  2. Provide the information requested in Section 1 that identifies the independent contractor.
  3. Describe the job to be performed and the anticipated completion date in Section 2.
  4. Describe the amount and terms of payment in Section 3.
  5. Provide the number of days needed to terminate the agreement in Section 4.
  6. Have the department head and independent contractor sign and date the agreement.

NOTE: This contract must be attached to the initial Request for Payment and is valid for the duration of the work to be performed up to a maximum of one year.

Get a Copy of the Independent Contractor Agreement




 Printable Version

Thomas Jefferson University