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</center><p>Workers' compensation agreement forms. Format. JOINT AGREEMENT TO AFFIRM INDEPENDENT RELATIONSHIP FOR CERTAIN BUILDING Agreement to establish employer-employee relationship for certain building and construction workers. Notice of laration The undersigned Hiring Contractor and the undersigned Independent Contractor hereby lare that the Independent Contractor meets the qualifications of an Texas Workers' Compensation Act, Texas Labor Code, Section (2) defines "independent contractor" as follows: (2) "Independent contractor" means a person who contracts to perfonn work or provide a scn•ice for the benefit of another and who: (A} is paid by the job, not by the hour or some other time-measured basis; (B) is free to hire as JOINT AGREEMENT TO AFFIRM INDEPENDENT RELATIONSHIP FOR CERTAIN BUILDING AND CONSTRUCTION WORKERS. TDI form number. Once this agreement is signed, for the purpose of providing workers' compensation insurance coverage, the Hiring Contractor will be the employer of the Independent  If the form is a fillable PDF, learn how to enable all fillable form features. Free, no registration required DWC FORM Rev/DIVISION OF WORKERS’ COMPENSATION. Language Texas Department of Insurance Congress Avenue, Austin, TX PO Box, Austin, TX |  Fill and download the Texas DWCAgreement for Certain Building and Construction Workers online in PDF format. Description. I agree that the hiring contractor employs the independent contractor for the purpose of providing workers’ compensation insurance coverage, and no other purposeSignature of independent contractor Texas Workers' Compensation Act, Texas Labor Code, Section (2) defines "independent contractor" as follows: (2) "Independent contractor" means a person who contracts to perform work or provide a service for the benefit of another and who: (A) is paid by the job, not by the hour or some other time-measured basis; (B) is free to hire as Texas Department of Insurance Congress Avenue, Austin, TX PO Box, Austin, TX |  DWC FORM Rev/DIVISION OF WORKERS’ COMPENSATION.</p></translate>
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|Duration=336
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