IT Independent Contractor Employee

Name Name * First Last
Email *
Bi-Week Start Date Bi-Week Start Date * / MM / DD YYYY
Bi-Week End Date Bi-Week End Date * / MM / DD YYYY
IT Independent Contractor *

IT Independent Contractor Bi-Weekly Payment Weekends On Call Salud/Pension Internet English Course Training PayU Comision Bonus Other
BI-Weekly Payment $ Dollars . Cents
Weekends On Call $ Dollars . Cents
Salud/Pension $ Dollars . Cents
Internet $ Dollars . Cents
English Course $ Dollars . Cents
Training $ Dollars . Cents
PayU Comision $ Dollars . Cents
Bonus $ Dollars . Cents
Other $ Dollars . Cents
Upload information on Payment change or Extra Payment if needed.

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Bi-weekly Comments

Please let us know if any Payment changes have been made. Of if there is any payment changes to other service.
Signature that the above amounts are true and accurate. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Payment Picture

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$0

Total