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MICHIGAN WORKERS COMPENSATION PLACEMENT FACILITY Supplemental worksheet to be filled out in addition to the INDEPENDENT CONTRACTOR WORKSHEET by a Sole Proprietor Owner Operator Truck Driver TO BE.

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How to fill out the Facility 234doc online

This guide provides clear and concise instructions for filling out the Facility 234doc online, a supplemental worksheet required for independent contractor owner-operator truck drivers in Michigan. Following these steps will ensure that you complete the form correctly and provide all necessary information.

Follow the steps to complete the Facility 234doc online effectively.

  1. Press the ‘Get Form’ button to access the Facility 234doc and open it in the form editor.
  2. Indicate whether you own your vehicle by selecting 'Yes' or 'No'.
  3. If you lease your vehicle, provide the name of the leasing company in the designated space.
  4. List the types of insurance you carry as a trucking service in the provided field.
  5. Indicate whether you have a signed contract with the party you haul for by selecting 'Yes' or 'No'. If 'Yes', attach the copy of the contract.
  6. Specify how you are compensated by selecting one of the options: Hourly, By the mile, By the load, or Other (explain your method in the designated space).
  7. Indicate whether you can refuse to accept a given load by selecting 'Yes' or 'No'.
  8. Provide the name of the person or entity that purchases fuel for your vehicle.
  9. Indicate who is responsible for the maintenance costs of your vehicle.
  10. Acknowledge your independent contractor status by signing and dating the form. Include your phone number and email address in the provided fields.
  11. Review all provided information for accuracy and completeness.
  12. Once completed, you can save changes, download, print, or share the form as needed.

Begin completing the Facility 234doc online today to ensure your compliance and accuracy!

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