Hire - Miniac

PLEASE READ:

If you have previously filled out this form (for example, on a previous job), there is no need to fill it out again, unless any of your contact information or SSN/EIN has changed.

Name *

First

Last

Email *

Phone *

Business Name (if applicable)

Check appropriate box for federal tax classification *

LLC Type

If Limited liability company, please enter the tax classification (C=C corporation, S=S corporation, P=partnership), input only one letter. Note: For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner.

Your check will be sent to the address below. Be sure to include your apartment number if applicable

Address *

City *

State *

Zip Code

Change of address

Please check this box if this is an address change.

Please provide one of the following*

Social security number

Employer ID number

Date *

Checkbox *

Check this box to verify that the particulars entered above are true.