*Authorized Signer
(Enter your full name exactly as it should appear on the agreement)

Full Legal Business Name (if applicable)
(If you operate under a business name or entity, enter it here. Otherwise, if you operate as a Sole Proprietor enter your full legal name. )

*Business Structure (required)

Sole ProprietorLLCCorporationOther

State of Formation
(Required only if operating as an LLC or corporation)
ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Address Information
Legal Mailing Address (required)
Street Address

City

State
ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip Code

Authority to Execute Agreement
Authorization Confirmation (required)
I confirm that I am the individual authorized to execute this Independent Contractor Agreement on behalf of the individual or business listed above.

Independent Contractor Acknowledgements
Please review and confirm the following:

I understand that I am entering into an independent contractor relationship, not an employment relationship.

I understand that execution of this agreement does not guarantee assignments or volume of work.

I confirm that the information provided above is accurate and may be used to prepare my Independent Contractor Agreement with Meridian Investigative Group

Email Address
Please enter your email so we can send you a copy of this agreement.

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