Nursing Agreement - Self-Employed Independent Contractor

State:
Multi-State
Control #:
US-INDC-32
Format:
Word; 
Rich Text
Instant download

About this form

The Nursing Agreement - Self-Employed Independent Contractor is a legally binding document that outlines the terms under which a nurse, typically a traveling nurse, provides services to a hospital or hospice as an independent contractor. This form establishes a clear framework for the relationship, highlighting the nurse's independent status unlike traditional employment documents, ensuring that both parties understand their rights and responsibilities.

What’s included in this form

  • Scope of duties – Defines the nursing services to be provided by the nurse as an independent contractor.
  • Compensation – Details the nurse's independent contractor status and compensation structure.
  • Indemnification – Outlines the nurse's responsibility to indemnify the employer for any losses due to violations of the agreement.
  • Representations – Affirms the nurse’s licensing status and the absence of conflicting contracts.
  • Miscellaneous provisions – Includes clauses that govern the agreement's survivability and binding nature.
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When to use this form

This form should be used when a nurse is being hired as a self-employed independent contractor by a healthcare facility, such as a hospital or hospice. It is appropriate for scenarios involving temporary assignments, travel nursing roles, or when detailed specifications of services and duties are necessary for clarity in the professional relationship.

Who should use this form

  • Nurses seeking to enter into an independent contractor relationship with hospitals or hospices.
  • Healthcare facilities looking to hire nurses on a contract basis rather than as employees.
  • Legal professionals assisting clients in drafting or reviewing nursing agreements.

Instructions for completing this form

  • Identify the parties involved: Clearly state the names of the nurse (contractor) and the healthcare facility (employer).
  • Specify the scope of duties: Outline the nursing services the contractor will provide.
  • Detail compensation: Specify the payment structure, including rates and payment terms.
  • Include representations: Ensure the nurse confirms their licensing and lack of conflicting obligations.
  • Sign and date the agreement: Both parties must sign to officially bind the agreement.

Is notarization required?

This form does not typically require notarization unless specified by local law. Always check state requirements to ensure compliance.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Common mistakes

  • Failing to outline specific duties, leading to misunderstandings.
  • Not clearly identifying the independent contractor status and responsibilities.
  • Neglecting to confirm the nurse's licensing and standing with the licensing board.

Advantages of online completion

  • Convenience of downloading and printing from anywhere.
  • Editability allows for customization to fit specific needs.
  • Reliability of forms drafted by licensed attorneys, giving peace of mind.

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FAQ

Simply put, being an independent contractor is one way to be self-employed. Being self-employed means that you earn money but don't work as an employee for someone else.An independent contractor is someone who provides a service on a contractual basis.

A new law went into effect in California last month regulating gig labor. Here, nurses, CRNAs and NPs are not allowed to work as they wish but must conform to the hospital's policies and procedures while working in the same line of work as the company contracting their services.

In the simplest of terms, nurse practitioners that are 1099 employees are independent contractors. They receive a different tax form than that which accompanies more traditional W-2 employment status and are not technically employees of the company for which they work.

Terms. This is the first section of any agreement or contract and states the names and locations of the parties involved. Responsibilities & Deliverables. Payment-Related Details. Confidentiality Clause. Contract Termination. Choice of Law.

Get it in writing. Keep it simple. Deal with the right person. Identify each party correctly. Spell out all of the details. Specify payment obligations. Agree on circumstances that terminate the contract. Agree on a way to resolve disputes.

Name of contractor and contact information. Name of homeowner and contact information. Describe property in legal terms. List attachments to the contract. The cost. Failure of homeowner to obtain financing. Description of the work and the completion date. Right to stop the project.

If the NP is working for a facility or office that provides medical services, the NP cannot work as an independent contractor.Even if the NP works four hours, s/he must be an employee. If the NP is an employer, s/he cannot hire other providers as independent contractors. The providers must all be employees.

The earnings of a person who is working as an independent contractor are subject to Self-Employment Tax. If you are an independent contractor, you are self-employed.You are not an independent contractor if you perform services that can be controlled by an employer (what will be done and how it will be done).

Form W-9. The IRS requires contractors to fill out a Form W-9, request for Taxpayer Identification Number and Certification, which you should keep on file for at least four years after the hiring. This form is used to request the correct name and Taxpayer Identification Number, or TIN, of the worker or their entity.

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Nursing Agreement - Self-Employed Independent Contractor