Kritter Kare Independent Contractor Form


Thank you for your interest in working with Kritter Kare. Please complete the information below. We will then contact you for an interview if you seem like a viable candidate for the job(s) we have available. Please note the following: 1. Kritter Kare 4 U, LLC will confirm your responses. Consider this before beginning this form. All submitted forms are considered for independent contractors, and contractors are treated during the agreement, without regard to race, color, religion, sex, national origin, age, disability or any other prohibited basis of discrimination as provided under applicable state and federal law. By submitting this form, you certify that the facts set forth in this form are true, complete and correct to the best of your knowledge. You understand that any misrepresentations, falsifications, or omissions on this form can be grounds for immediate denial of your appointment or authorize KRITTER KARE 4 U LLC to make any necessary inquiries and investigations into your education, references or employment history. You further authorize, unless otherwise indicated on this form, the release of your information to KRITTER KARE 4 U LLC by any of the schools, services, or employers listed on this form. I also hereby release from liability KRITTER KARE 4 U LLC and its representatives for seeking, gathering and using such information to make decisions concerning your status as an independent contractor for KRITTER KARE 4 U LLC and all other persons or organizations for providing such information. 2. THIS IS NOT AN APPLICATION FOR EMPLOYMENT. You understand and agree that if this form is accepted, your status will be that of an independent contractor and as such, you will be solely responsible for all tax liabilities pertaining to monies received in the course of services you perform. If you are retained by KRITTER KARE 4 U LLC as an independent contractor, you will: a) not be entitled to workers compensation benefits, b) not be entitled to unemployment insurance benefits unless unemployment coverage is provided by you or some other entity, and c) be obligated to pay federal and state income tax on any monies paid pursuant to the contract relationship. By submitting this form to KRITTER KARE 4 U LLC, you represent and warrant that you have read and fully understand the foregoing, and that you seek to become an independent contractor under these conditions. Thank you again!
  • Please let us know which method of communication is the best to use in order to reach you the fastest.
  • By completing this field, you give us, Kritter Kare 4 U LLC, authorization to run a background check on you.
  • Please provide at least THREE (3) prior job references.
    EmployerSupervisorPhone #Dates of EmploymentReason for Leaving 
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  • Please provide at least THREE (3) professional references (not family).
    NamePhone #Email Address 
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  • If none of these time frames work with your schedule, please mark "other".
  • Following the position title is an average number of visits (per client) a day required - these may or may not be split with another sitter.
  • All sitters provide pet care during national holidays (New Year's, Easter, Memorial Day, 4th of July, Labor Day, Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas, New Year's Eve). Are you able to provide at least TWO (2) pet sits per day if needed on the holidays previously listed?
  • The areas listed would be areas you would consider taking assignments for based on the services you want to provide and the times you are available.
  • Pet care visits range in proximity to sitter's residence. Mileage can be from 1 mile to 15 miles one way. Additional mileage is compensated by clients. Are you available to drive 15 miles (one way) to a pet visit?