Contract Worker Checklist

NEW CONTRACT:

FORMS TO BE COMPLETED BY REQUESTING OFFICE

• Contract Justification  
• Contract Worker Agreement

BOARD ITEM, if applicable – Refer to the Timelines for Submission of Contracts 

• Single Year
• Modification
• Renewal 
• Multi-Year 

FORMS TO BE COMPLETED BY CONTRACT WORKER 

• Form W-4 – IRS tax form
• State Withholding Form Mississippi Employee’s Withholding Exemption Certificate
• Certification of PERS Service Retirement The SBE must approve contracts with former state employees who are PERS retirees receiving retirement benefits for an amount exceeding $20,000 a year.
• Direct Deposit Form
• Information Change Form – Name, Address, etc. 

FORMS TO BE COMPLETED BY CONTRACT WORKER AND REQUESTING OFFICE: 

• PERS Form 4B (only complete if contract worker is a PERS retiree)
• Form I-9 – Employment Eligibility Verification 
• Background Acknowledgement and Authorization to Release Information (with Human Resources approval) Note: If there is not a break in service from the prior fiscal year then no additional background check is required. However, if there is a break in service, then another background check is required.
• Certification of School District/Public Entity  (Only complete if contractor is a school district or public entity employee.)   Form to be completed by contractor and requesting office.  The form can be modified if employment is other than a school district.

CONTRACT MAINTENANCE

After the contract has been awarded, download Contract Worker Forms required for payment on the Office of Accounting’s web page. 

• Time and Effort Logs 
• Contract Worker Performance Review Form
• Contract Worker SPAHRS De-obligation Form
• Budget Tracker

CONTRACT MODIFICATION/RENEWAL

• Contract Modification Justification – Contract Worker Modification/Renewal 
• Contract Modification/Renewal – Agreement 

CONTRACT TERMINATION:

• Contract Termination Agreement – Reconcile contract
• Termination of Contract Worker Form (WIN-3)

SUBMISSION OF PACKET

After the contract has been approved, go to the Office of Accounting’s web page to download the Contract Worker Time Sheet, Contract Worker Pay Schedule, and Direct Deposit Form.  Contract worker payments are made on a bi-weekly delayed payment schedule.  The Contract Worker Time Sheet must be received two (2) working days after the end of each two week period.