Contractor Onboarding - Digital Marketing Director (1) Please complete every section. All information is used strictly to set up your 1099 contractor agreement, tax reporting, and payment. Fields marked required must be filled to submit. Personal InformationFull Legal Name(Required) First Last As it appears on your Social Security card or government ID.Preferred Name / Goes ByEmail Address(Required) Mobile Phone(Required)Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth(Required) MM slash DD slash YYYY Business & Tax Information (1099)This mirrors your W-9. We report your annual pay to the IRS on Form 1099-NEC using this info.How are you set up for tax purposes?(Required) Individual / Sole Proprietor Single-Member LLC LLC taxed as S-Corp or C-Corp Partnership Other Legal Business Name (if any)Leave blank if you operate under your personal name.Taxpayer ID Number (SSN or EIN)(Required)Sole proprietors typically use their SSN. If you have an EIN, use that instead.Upload Signed W-9Accepted file types: pdf, jpg, jpeg, png, Max. file size: 25 MB. Download a blank W-9 from irs.gov, sign it, and upload here. PDF, JPG, or PNG.Identity VerificationDriver's License Number(Required)License State of Issue(Required)License Expiration Date(Required) MM slash DD slash YYYY Upload Photo of Driver's License(Required)Accepted file types: pdf, jpg, jpeg, png, Max. file size: 25 MB. Front of the license. PDF, JPG, or PNG.Payment InformationPreferred Payment Method(Required) Direct Deposit (ACH) Zelle Check Other (we'll follow up) Zelle Email or Phone (if using Zelle)Bank Name (if using Direct Deposit)Account Type (if using Direct Deposit) Checking Savings Routing Number (if using Direct Deposit)Account Number (if using Direct Deposit)Emergency ContactEmergency Contact Name(Required)RelationshipEmergency Contact Phone(Required)Role & CompensationPosition TitleAvailable Start Date(Required) MM slash DD slash YYYY Agreed Rate / CompensationHourly, monthly retainer, or per-project, as discussed.Acknowledgements & E-SignatureBy submitting this form I certify that the information above is true and accurate. I understand I am being engaged as an independent contractor (1099), not an employee, and that I am responsible for my own taxes. I authorize the company to verify my identity and to use the information provided for tax reporting and payment setup.Acknowledgements(Required) I certify the information provided is accurate. I understand this is a 1099 independent contractor engagement. I authorize identity verification. Type Your Full Legal Name as Signature(Required)Date Signed(Required) MM slash DD slash YYYY