Employee/Contractor Questionnaire Employer/Principal'S Version
Employee/Contractor Questionnaire Employer/Principal'S Version
Employee/Contractor Questionnaire Employer/Principal'S Version
EMPLOYER/PRINCIPALS VERSION
1)
Were the hours of work controlled or could the person have worked whatever hours
he/she wished? (Please attach a list of the hours worked each day.)
________________________________________________________________________
________________________________________________________________________
2)
How often was the persons work inspected? Daily? Weekly? More often?
________________________________________________________________________
3)
4)
Did the person in question supervise any employees of your business or enterprise?
Yes
5)
6)
No
7)
No
No
Did your business supply tools and equipment for use by the person in question?
Yes
No
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8)
No
9)
If the person had completed his/her work more quickly than scheduled would he/she have
been paid the same amount as if it had taken the scheduled length of time?
Yes
10)
No
If the person had completed his/her work more slowly than scheduled would he/she only
have been entitled to receive the same amount as if the work had been completed on
schedule?
Yes
11)
No
Could the person have taken other employment at the same time as he/she was working
for your business or enterprise, assuming that such work was available?
Yes
12)
No
Were deductions taken from the payments made to the person in question for:
Income Tax:
Yes
No
Yes
No
Unemployment Insurance:
Yes
No
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13)
Was Workers Compensation coverage provided for the person in question on behalf of
your business or enterprise?
Yes
14)
No
Could the person have employed other workers, to be paid by himself or herself, to help
with the work?
Yes
No
Yes
No
15)
Could the person have provided a replacement for himself or herself without your express
permission?
Yes
16)
No
To the best of your knowledge, does the person operate a business performing the sort of
work done for you?
Yes
No
No
17)
No
Yes
No
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18)
Could you have unilaterally terminated the work relationship with the individual in
question?
Yes
No
LABOUR SERVICES
DEPARTMENT OF JUSTICE
GOVERNMENT OF THE NORTHWEST TERRITORIES
PO BOX 1320
YELLOWKNIFE, NT X1A 2L9
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