INDEPENDENT CONTRACTOR AGREEMENTIndependent Contractor Agreement • February 19th, 2021 • Ohio
Contract Type FiledFebruary 19th, 2021 JurisdictionThis Independent Contractor Agreement (this "Agreement") is made effective as of Month Day, Year by and between Provider Organization (the "Recipient"), of Street Address, City, State Zip Code, and Independent Provider Name (the "Contractor"), of Street Address, City, State Zip Code. In this Agreement, the party who is contracting to receive the services shall be referred to as "Recipient", and the party who will be providing the services shall be referred to as "Contractor” and the party receiving direct care services shall be referred to as “Individual”. The duties to be performed will be identified in the Individual’s Individual Service Plan/Individual Habilitation Plan referred to as “ISP/IHP”.