Please note that University Physicians, Inc. is now doing business as University of Colorado Medicine (or "CU Medicine").

AP - Employee vs. Independent Contractor Questionnaire

Created:   | Updated: 06/01/2017
This questionnaire must be completed and submitted to the CU Medicine Finance Department to determine if an individual qualifies for Independent Contractor status. The Department must receive CU Medicine approval prior to any services being performed by the individual. The second page of this form also includes the independent contractor certification.  Return this form along with a W-9 completed by the Contractor.