Independent Contractor Request Form
AB 5 is a bill the California Governor signed into law in September 2019 addressing employment status when a hiring entity claims that the person it hired is an independent contractor and must determine if workers in California are employees or independent contractors for purposes of the Labor Code, the Unemployment Insurance Code, and the Industrial Welfare Commission (IWC) wage orders. For more information, please visit: https://www.dir.ca.gov/dlse/faq_independentcontractor.htm
Instructions: Please complete the below form and attach the necessary documentation. It is important to receive Human Resources approval prior to placing on the Board agenda for Board approval.