Independent Contractor Determination Questionnaire

Is the payee an individual or a company?

Individual
Company

Has the payee been employed by IU in any capacity in the past 12 months? This could include part-time, graduate assistant, or full time employment.

Yes
No

Will the work/services take place outside the United States?

Yes
No

What are the services the payee hopes to provide as an independent contractor? Please provide as much detail as possible.

Are the services being provided as an independent contractor related to teaching or research?

Yes
No

Does the payee provide these types of services for customers outside of IU?

Yes
No

How often will the payee be compensated? (one lump sum, monthly installments, etc.)

What is the expected total compensation for this agreement?

Is the service period greater than 180 days?

Yes
No