|Application for Predetermination of Independent Contractor Status to Establish Conclusive Presumption - Landowner/Woodharvester (PDF)
|Application for a Certificate of Independent Status (PDF)
|Discontinued 10/25/23: Application for Predetermination of Independent Contractor Status to Establish A Rebuttable Presumption
Predetermination approvals granted through the close of business on October 24, 2023 will remain in effect until their assigned expiration dates.
|Independent Contractor Statement Online Fillable Form with optional Confirmation Email - Effective October 25, 2023
A printable version of this form is also available.
As of October 25, 2023, an individual who wants to create a rebuttable presumption of independent contractor status may file a statement - Independent Contractor Statement (Form WCB-267) – with the Board. The Board will no longer review or approve Predetermination Applications (WCB-266). This means there are no decisions or paperwork sent from the Board.
The Independent Contractor Statement is effective when it is received by the Board and is valid for one year.
Information regarding who has filed a statement will be available on this webpage starting November 3, 2023 and updated weekly thereafter. You do not need to file an Independent Contractor Statement until your current predetermination is due to expire (which is one year from the date it is received by the Board).
For questions regarding Independent Contractor Status, please email ICS.WCB@maine.gov or call (207) 287-3751.