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Get IA WFD 68-0192 2016

, every person performing services for pay is presumed to be an employee, unless the department is satisfied this person is self-employed or an independent contractor. Instructions: The word FIRM, as used in this form, includes any type of business organization. A SIGNATURE IS REQUIRED ON THE BOTTOM OF PAGE 5. All parties must answer questions on pages 1 through 4. If the position involves sales, also complete the bottom of page 4 and all of page 5. Attach supplemental sheets for those question.

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