The Maine Predetermination form is an essential tool designed to ascertain whether an individual can be classified as an independent contractor in the state of Maine. This document outlines stringent criteria and requirements that must be met for an applicant to be granted independent contractor status, aiming to protect rights under the Maine Workers’ Compensation Act. It is crucial for individuals seeking this classification to thoroughly understand and complete the application process accurately to avoid penalties or misclassification. To learn more about the importance of this form and start the application process, click the button below.
In the landscape of employment and labor law, the Maine Predetermination Form plays a crucial role. This intricate document is essentially a beacon for those navigating the often murky waters of independent contractor status versus employee classification. At its core, it offers a powerful framework for individuals to assert their independence in the professional realm, potentially steering clear of the stringent regulatory shackles that bind employees. The form is a gateway to validation under the scrutinizing eye of the Maine Workers' Compensation Board, affirming an applicant's status as an independent contractor. However, this is not a journey to be undertaken lightly, as the consequences of submitting a fraudulent or intentionally misleading form are steep, with fines reaching up to $1,000 for individuals and skyrocketing to $10,000 for corporations or other legal entities. What makes the Predetermination Form both unique and challenging is its dual requirement: not only must applicants convincingly demonstrate their operational autonomy across various criteria outlined in Title 39-A M.R.S.A. §13-A, but they must also navigate through a rigorous application process that demands a thorough self-assessment of their work engagement practices, investment in tools and materials, financial risks, and the extent of their business independence. This application, embedded within a broader legal context, serves not just as a procedural step, but as a pivotal declaration of professional independence in Maine's employment landscape.
IMPORTANT: PLEASE READ BEFORE COMPLETING APPLICATION
NOTICE TO APPLICANT: Predetermination of independent contractor status is based upon the information provided in this application. Participation in the submission of a fraudulent or intentionally misleading form can result in fines of up to $1,000 for an individual and up to $10,000 for a corporation, partnership or other legal entity.
The predetermination WILL NOT apply if you do not perform work consistent with the information provided in this application.
Title 39-A M.R.S.A. §13-A establishes that: A person who performs services for remuneration is presumed to be an employee unless the employing unit proves that the person is free from the essential direction and control of the employing unit, both under the person's contract of service and in fact and the person meets specific criteria. In order for a person to be an independent contractor:
A.The following criteria must be met:
(1)The person has the essential right to control the means and progress of the work except as to final results;
(2)The person is customarily engaged in an independently established trade, occupation, profession or business;
(3)The person has the opportunity for profit and loss as a result of the services being performed for the other individual or entity;
(4)The person hires and pays the person's assistants, if any, and, to the extent such assistants are employees, supervises the details of the assistants' work; and
(5)The person makes the person's services available to some client or customer community even if the person's right to do so is voluntarily not exercised or is temporarily restricted; and
B.At least 3 of the following criteria must be met:
(1)The person has a substantive investment in the facilities, tools, instruments, materials and knowledge used by the person to complete the work;
(2)The person is not required to work exclusively for the other individual or entity;
(3)The person is responsible for satisfactory completion of the work and may be held contractually responsible for failure to complete the work;
(4)The parties have a contract that defines the relationship and gives contractual rights in the event the contract is terminated by the other individual or entity prior to completion of the work;
(5)Payment to the person is based on factors directly related to the work performed and not solely on the amount of time expended by the person;
(6)The work is outside the usual course of business for which the service is performed; or
(7)The person has been determined to be an independent contractor by the federal Internal Revenue Service.
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WCB-266 (eff. 08/01/2013)
STATE OF MAINE
WORKERS’ COMPENSATION BOARD
27 STATE HOUSE STATION
AUGUSTA, ME 04333-0027
Tel. 207-287-7071 / Fax 207-287-5413
APPLICATION FOR PREDETERMINATION OF INDEPENDENT CONTRACTOR STATUS
TO ESTABLISH A REBUTTABLE PRESUMPTION
NOTICE
•The predetermination process is voluntary under the Maine Workers’ Compensation Act. The Act DOES NOT require an individual to receive an approved predetermination before working as an independent contractor.
•If you file this application, it may be: Granted or denied (you will receive a letter to this effect); or, instead of denying it, the Board may return your application and request additional information.
•By submitting this Application you are not relinquishing your rights to be covered under the Maine Workers’ Compensation Act—if you are injured you may still file a claim with the Board.
•Approved predeterminations are “portable” (may be submitted to any employing unit) and are valid for one year from the date of approval.
•The predetermination is only valid with respect to an employing unit if you work consistent with the answers on this application
•A predetermination from the Board is not binding on the Department of Labor.
•You must retain a copy of this application for your records. You may be required to produce this application along with the decision that you receive from the Board.
Pursuant to 39-A M.R.S.A. § 105, ______________________________________(Applicant Name (and d/b/a if
you use one)) hereby requests a predetermination by the Maine Workers’ Compensation Board that the Applicant is an independent contractor.
APPLICANT
Name: _______________________________________________________________________________
Doing Business As (d/b/a) (if applicable): ___________________________________________________
Complete Mailing address: ______________________________________________________________
STREET/P.O. BOXAPT. NO.
______________________________________________________________
CITY
STATE
ZIP CODE
Telephone: ___________________________________________________________________________
E-mail address: ________________________________________________________________________
Type of work you do: ___________________________________________________________________
Note: Information provided on this form, not otherwise confidential, may be shared with other state and federal agencies.
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SECTION I
THIS APPLICATION IS NOT COMPLETE UNLESS YOU ANSWER ALL OF THE QUESTIONS IN THIS SECTION AND PROVIDE ALL REQUIRED INFORMATION.
INCOMPLETE APPLICATIONS WILL BE RETURNED.
(1)The person has the essential right to control the means and progress of the work except as to final results.
(a)
Do you have the right to decide how to perform your work?
Yes
No
(b)
Other than the completion date for the work, do you have the right to determine when
you will perform your work?
(2)The person is customarily engaged in an independently established trade, occupation, profession or business.
(a)Please state your trade, occupation, profession or business.
___________________________________________________________________
(b)Please indicate how your business is organized:
sole proprietor
corporation
limited liability company
partnership
professional corporation
(c)How long have you been considered independent in your trade, occupation, profession or business?
____________________________________________________________________
(d)Have you worked for or searched for work from more than one source during the 12
months prior to the date of this application?
Yes No
(e)Did you file a corporate or partnership income tax return last year for the trade, occupation, profession or business listed in Question 2(a)?
Yes No
(f)Did you file Schedule C, Schedule E or Schedule F with your personal income tax return last year for the trade, occupation, profession or business listed in Question
2(a)?
(g)Did you pay self-employment tax and file Schedule SE with the I.R.S. last year for the trade, occupation, profession or business listed in Question 2(a)?
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(h) If you answered “No” to Questions 2 (e), (f) and (g), please explain:
________________________________________________________________________
(3)The person has the opportunity for profit and loss as a result of the services being performed for the other individual or entity.
(a)Check each of the following expenses you paid in the last 12 months in order to perform your work:
rent and utilities
tools and equipment
training
advertising
payments to business managers and agents
wages or salaries of assistants
licensing/certification/ professional dues
insurance
postage and delivery
repairs and maintenance
supplies
travel
leasing of equipment
depreciation
inventory/cost of goods sold
other
(b) Do you ever provide the materials necessary to complete your work? Yes No
(c)Do you ever provide the tools and/or equipment necessary to complete your work?
(d)Can you make more money based on how you do your work? For example, if material costs are lower than expected, or the job does not take as long as expected.
(e)Can you lose money doing your work? For example, if material costs are higher than expected, the job takes longer than expected, or re-work must be done due to a
mistake or flaw, etc.
(f)
Are you responsible for completing the work you agree to do?
(g)
If you fail to do quality work, do you have to redo the work or fix the mistake at no
additional cost to the people or businesses who hired you?
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(4)The person hires and pays the person's assistants, if any, and, to the extent such assistants are employees, supervises the details of the assistants' work.
Can you, if you want, use assistants and/or subcontractors to perform, or help
perform, your work?
If “No” please explain:
_____________________________________________________________________
Do you use assistants to perform your work?
(If “Yes,” answer questions (c), (d) and (e). If “No,” proceed to question (5).)
(c)
Are you responsible for paying your assistants?
(d)Are you personally responsible for supervising the details of your assistants’ work?
(e)Do you provide Workers’ Compensation coverage for any individuals who work
with you?
(5)The person makes the person's services available to some client or customer community even if the person's right to do so is voluntarily not exercised or is temporarily restricted.
(a) Do you advertise?
(b)Do you have the right to work for more than one person or business at a time?
(c)Other than the completion date for the work, do you determine what you work on,
how you will perform the work and when you will work on it?
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SECTION II
YOU MUST ANSWER ALL QUESTIONS IN THIS SECTION. SATISFACTORY ANSWERS TO AT LEAST THREE (3) QUESTIONS ARE REQUIRED TO QUALIFY. INCOMPLETE APPLICATIONS WILL BE RETURNED.
(6)The person has a substantive investment in the facilities, tools, instruments, materials and knowledge used by the person to complete the work.
Have you made a substantive investment in the facilities, tools, instruments, materials
or knowledge you use to complete your work?
Do you provide the essential equipment or knowledge that is used to complete your
work?
Are you required to lease essential equipment from the people or businesses who
hired you?
(d)
If the answer to (6)(c) is “Yes,” are you paying fair market value for the equipment
that you are leasing?
(7) The person is not required to work exclusively for the other individual or entity.
(a) Are you required to work exclusively for one person or business?
(b)Have you worked for more than one person or business during the past 12 months?
(c)Do you have the right to refuse work offered by the people or businesses hiring you?
(8)The person is responsible for satisfactory completion of the work and may be held contractually responsible for failure to complete the work.
(a)If you do not complete the work you agree to do in your contracts (verbal or written),
are you potentially liable to pay the people for the damages they suffer as a result of
this failure?
(b)If you fail to do quality work, do you have to redo the work or fix the mistake at no additional cost to the people who hired you, or potentially pay them money damages
so they can have the work redone or fixed?
(9)The parties have a contract that defines the relationship and gives contractual rights in the event the contract is terminated by the other individual or entity prior to completion of the work.
(a) Do you have agreements (verbal or written) with the people or businesses who hire
you?
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(b)If the people or businesses that hire you cancel your contracts (verbal or written) before you have an opportunity to complete the work, are they potentially liable to pay you the money you would have received if you had completed the work?
(10)Payment to the person is based on factors directly related to the work performed and not solely on the amount of time expended by the person.
Are you paid by the hour for your work?
If paid by the hour, do you negotiate your rates?
Are your contracts (verbal or written) for specific work at a set price?
(d)If the answers to 10 (a),(b) or (c) are “No,” please explain.
(11)The work is outside the usual course of business for which the service is performed.
(a)Is the work you do different than the work performed by the people or businesses that
hire you? Yes No
(b) Have you worked as an employee for any of the people or businesses for which you
currently work? Yes No If yes, please provide the most recent date of your employment: _________________
(12)The person has been determined to be an independent contractor by the federal Internal Revenue Service.
The Internal Revenue Service allows businesses or workers to a request a determination as to whether or not a worker is an independent contractor. These determinations can be requested by filing Form SS-8, Determination of Worker Status for Purposes of Federal Employment Taxes and Income Tax Withholding with the I.R.S.
Have you filed Form SS-8 with the I.R.S.?
If you filed Form SS-8, have you received a determination?
If you received a determination, please check the appropriate box:
Approved
Denied
Other
Please provide the date the I.R.S. issued its determination: __________________.
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THIS APPLICATION MUST BE SIGNED.
UNSIGNED APPLICATIONS WILL NOT BE PROCESSED.
Read carefully and sign below:
I hereby certify the foregoing information is truthful and accurate. I understand if any information contained in this application is found to be intentionally misleading or fraudulent, the predetermination of independent contractor status shall be nullified and I may be subject to fines as described on page 1.
I further understand this predetermination of independent contractor status is based upon the information provided in this application. I understand changes in these circumstances may nullify the predetermination of independent contractor status. I agree to notify the Workers’ Compensation Board of any changes to the information in this application or the circumstances described herein.
You must retain a copy of this application for your records. You may be required to produce this application along with the decision that you receive from the Board.
______________
________________________________
Date
Signature of Applicant
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Filling out the Maine Predetermination form is a crucial step for individuals seeking to establish their status as independent contractors under the Maine Workers' Compensation Act. This form helps applicants to obtain a predetermination of independent contractor status, which is a key factor in defining their employment classification and impacts their rights and obligations under the Act. Completing this application accurately is essential to avoid penalties and ensure that your work relationship is correctly recognized. Follow these straightforward steps to complete the application and move closer to securing your independence in your professional engagements.
Once you have completed and reviewed your application, submit it to the address provided on the form. After your application is submitted, it will undergo review by the Maine Workers' Compensation Board. You will receive a letter indicating whether your predetermination has been granted or denied. Approval establishes a rebuttable presumption of independent contractor status, which is portable and valid for one year from the date of approval, assuming your work remains consistent with the information provided in your application. Remember, the predetermination from the Board is specific to the information you've provided and doesn't exempt you from future assessments by the Maine Department of Labor or other entities.
The purpose of the Maine Predetermination form is to establish whether an individual seeking to perform work can be classified as an independent contractor rather than an employee. This classification has significant implications for both parties in areas such as tax liability and workers' compensation coverage. By completing this application, the individual requests the Maine Workers’ Compensation Board to pre-determine their status based on specific criteria outlined in state law.
Any individual wishing to obtain official predetermination of their independent contractor status under Maine law should file this form. It’s particularly useful for individuals who want to clarify their work status with potential employers, ensuring that their relationships are structured correctly from a legal and financial standpoint. It’s a voluntary process but provides a level of certainty and legal protection for both the worker and the employing unit.
To be considered an independent contractor in Maine, an individual must meet specific criteria related to their autonomy, business operation, and the manner in which their work is performed and compensated. These criteria fall into two categories:
Additionally, at least three of the following criteria must be met, which include factors such as a substantive investment in the tools and materials required for their work, absence of a requirement to work exclusively for one entity, and others.
A Predetermination approval is valid for one year from the date of approval. Importantly, this predetermination is portable, allowing the individual to submit it to any employing unit during its period of validity. This portability ensures that the individual does not need to undergo separate assessments for each new project or client, streamlining the process of engaging in multiple contracts as an independent contractor in Maine.
Filling out the Maine Predetermination form accurately is crucial for those wishing to establish independent contractor status under the Maine Workers' Compensation Act. However, applicants often make several mistakes during this process. Understanding these errors can help applicants avoid common pitfalls and increase the likelihood of approval.
Not providing complete answers to all questions: The form clearly states that all questions must be answered and all required information provided. Incomplete applications are returned, leading to unnecessary delays.
Failing to adequately demonstrate independence: Applicants must show they control the means and progress of their work, are engaged in an independently established trade, and have the opportunity for profit or loss. Vague or unconvincing responses weaken the application.
Inaccurate representation of business organization: Misunderstanding or incorrectly stating the legal structure of one's business (e.g., sole proprietorship, LLC) can lead to the denial of independent contractor status.
Oversights in reporting financial operations: Applicants must disclose if they've filed business income tax returns and paid self-employment tax. Overlooking or incorrectly reporting these details can be problematic.
Not substantiating the basis for profit and loss: The form requires applicants to indicate expenses paid and the possibility of incurring losses. Failing to provide detailed information may result in a lack of evidence for independent business operations.
Ignoring the role of assistants: If applicants use assistants, they must demonstrate control over payment and supervision. Neglecting to indicate this relationship can contradict claims of operating as an independent contractor.
Not making services available to a broad client base: Applicants should show that their services are available to multiple clients or entities. Lack of advertising or exclusivity in contracts could contradict this requirement.
Misunderstanding the criteria for substantive investment: Failing to clearly identify investments in tools, materials, or other business assets can raise questions about the applicant's level of commitment and operational independence.
Overlooking the importance of a contract: Not having a contract that defines the relationship with the hiring entity and sets out rights upon termination can undermine an application. This document serves as a crucial piece of evidence for establishing independence.
Applicants should approach the Predetermination form with attention to detail and an understanding of the criteria set forth by Title 39-A M.R.S.A. §13-A. Avoiding these common mistakes can facilitate a smoother process and support the case for independent contractor status.
When navigating the landscape of independent contracting in Maine, particularly in relation to the Maine Predetermination form, it's crucial to be prepared with all necessary documentation. This preparation not only aids in establishing one's status as an independent contractor but also ensures compliance with state regulations. Here are four critical documents typically used in conjunction with the Maine Predetermination form, which serve to support an applicant's case and provide a comprehensive overview of their independent contractor status.
In summary, while the Predetermination form is pivotal for independent contractors in Maine to establish their operational status, it doesn't stand alone. Complementary documents like a Certificate of Insurance, Business License, Contracts or Work Agreements, and Income Tax Returns including Schedule C, are instrumental. They fortify the application, making a compelling case for the independent contractor status, ensuring that regulatory bodies have a full, clear vision of the applicant's independent business operations.
The Maine Predetermination form shares similarities with the IRS Form SS-8, "Determination of Worker Status for Purposes of Federal Employment Taxes and Income Tax Withholding." Both forms are designed to differentiate between an independent contractor and an employee status based on specific criteria, including the degree of control and independence. However, the IRS Form SS-8 focuses on federal tax implications, while the Maine form is geared toward state-level workers' compensation law compliance and the establishment of a rebuttable presumption of independent contractor status. Both require detailed descriptions of the work arrangement, control over work execution, and financial aspects like the opportunity for profit or loss.
The Uniform Commercial Code (UCC) Financing Statement form, commonly used to declare a secured interest in a debtor's personal property, is another document that, while serving a different legal function, shares a procedural resemblance with the Maine Predetermination form. Both require specific information to be filled out accurately to either establish a legal status or a claim. The UCC form, much like the Predetermination form, serves as a public declaration, in this case of a secured interest, which is significant in the context of commercial law. It underscores transparency and documentation in legal processes, similar to the need for clarity in determining employment status.
An Employment Eligibility Verification Form I-9 is a document required by the U.S. government to verify an employee's identity and eligibility to work in the United States. It parallels the Maine Predetermination form in its aim to verify and document specific statuses before commencing work. While the I-9 focuses on legal work status in the U.S., the Maine form concentrates on the employment classification within the state's labor and workers' compensation laws. Both are preventive checks established to ensure compliance with respective legal requirements before employment relationships are formalized.
The Application for Employment is a standard document that seeks to gather information about a potential employee, including past experience, skills, and qualifications. Although its primary purpose is different from that of the Maine Predetermination form—which aims to establish the independent contractor status rather than to secure employment—it similarly collects detailed personal and professional information upfront. Both forms play a crucial role in the preliminary stages of professional engagement, ensuring that all parties have the necessary information before proceeding with the relationship.
The Business License Application, required by various jurisdictions before a business may legally operate, shares commonalities with the Maine Predetermination form in terms of establishing a formal recognition of a business entity or professional status according to specific criteria and legal standards. While the Business License Application validates the legality and compliance of a business within a local or state jurisdiction, the Predetermination form specifically addresses the classification of an individual’s employment status under workers' compensation laws. Both are vital for legal operation and worker protection within their respective scopes.
Completing the Maine Predetermination form requires careful attention to detail and honesty. The following tips are designed to help ease the process and ensure that applicants provide the most accurate and helpful information possible.
Following these dos and don'ts will help guide you through filling out the Maine Predetermination form smoothly and efficiently. Keep in mind that this form is designed to help clarify your working status and protect your rights, so approach it with the seriousness it deserves.
Understanding the Maine Predetermination form for independent contractor status requires dispelling common misconceptions. Below are nine such misunderstandings and clarifications to provide accurate insight:
Dispelling these misconceptions helps both contractors and employing units understand the predetermination process and its implications more clearly.
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