indicates required field Complete the logging industry – determining worker/independent operator status questionnaire if:you cut logs or operate equipment in woodland operationsare the principal of a logging industry business (or their respective representative)You and the principal can also submit separate questionnaires if:you disagree about the answers to some or all of the questionsyou want to submit the financial information in confidenceKey termsWorkers are entitled to benefits provided by the Workplace Safety and Insurance Act and their employers must pay premiums to the WSIB.Independent operators can choose to apply for coverage as workers under the Workplace Safety and Insurance Act. If they want insurance, they must pay their own premiums.Principal is the company that hires the individual to cut or prepare logs. Part 1 What work do you do? What equipment and vehicles do you own, rent or lease to work in woodland operations? Is there a written contract stating the terms of the work relationship? Yes No Please include a copy of the contract One file only.10 MB limitAllowed types: pdf, doc, docx, jpg, png. Do you have a previous or current WSIB account number? Yes No Please provide WSIB account number Part 2 Instructions A - The principal decides what type and size of timber I will cut (beyond the conditions set by the license). B - I decide on my own what type and size of timber to cut. Order of work A - I am required to follow the same safe working practices and procedures as those prescribed by the principal for other workers. B - I am not required to follow the principal’s rules about safe working practices. Licenses A - To cut in the area where I work, the principal has a sustainable forest license, a forest resource license, an overlapping license, a salvage license and union agreement B - To cut in the area where I work, I have a forest resource license, an overlapping license and a salvage license Union agreement A - The relationship with the principal is governed by the terms of a collective or union agreement. B - The relationship with the principal is not governed by the terms of a collective or union agreement. Ruling by Canada Revenue Agency A - The Canada Revenue Agency has made an official ruling that I’m an employee. A - The Canada Revenue Agency has not ruled on my status. B - Canada Revenue Agency has ruled I’m independent. This is done by requesting a ruling as to the status of a worker or independent operator under the Canada Pension Plan or Employment Insurance Act using their form: "Request for a CPP/EI Ruling – Employee or Self-Employed?" Please include a copy of this ruling. Method of payment A - The principal decides how much to pay me for the work or I am paid according to a standard pay or rate scale (for the type of equipment and services supplied.) B- I negotiate the amount and manner in which the principal pays me and am not paid according to a standard pay or rate scale How many "A" you selected as your response in Part 2 How many "B" you selected as your response in Part 2 Part 3 Profits or loss A - I pay for less than 80 per cent (in dollars per month) of the items that are used in doing the work OR I buy 20 per cent (in dollars per month) or more of these items from the principal or an agency controlled or selected by the principal OR The decisions (from list B) that the principal makes have a greater impact on my earnings than the decisions I make B - I pay for 80 per cent (in dollars per month) or more of the items that are used in doing the work AND I buy less than 20 per cent (in dollars per month) of these items from the principal or an agency controlled/selected by the principal AND The decisions that I make have a greater impact on my earnings than the decisions the principal makes List A: Please indicate what costs are incurred in doing the work, who pays for these items and the approximate value or cost of each item. Equipment that is used - Select -The principal pays for these itemsI buy these items from or pay for those items through an arrangement with the principalI pay for these items without assistance from the principal Enter the value of equipment that is used Equipment insurance - Select -The principal pays for these itemsI buy these items from or pay for those items through an arrangement with the principalI pay for these items without assistance from the principal Enter the value of equipment insurance Maintenance of equipment - Select -The principal pays for these itemsI buy these items from or pay for those items through an arrangement with the principalI pay for these items without assistance from the principal Enter the value of equipment maintenance Vehicle licensing fees - Select -The principal pays for these itemsI buy these items from or pay for those items through an arrangement with the principalI pay for these items without assistance from the principal Enter the value of vehicle licensing fees Maintenance of the vehicle - Select -The principal pays for these itemsI buy these items from or pay for those items through an arrangement with the principalI pay for these items without assistance from the principal Enter the value of the vehicle maintenance Fuel and travelling expenses (e.g. room, board, moving equipment) - Select -The principal pays for these itemsI buy these items from or pay for those items through an arrangement with the principalI pay for these items without assistance from the principal Enter the value of fuel and travelling expenses Supplies (i.e. invoices, telephone) - Select -The principal pays for these itemsI buy these items from or pay for those items through an arrangement with the principalI pay for these items without assistance from the principal Enter the value of supplies (i.e. invoices, telephone) List B: Please indicate who makes the following decisions and rank the impact of these decisions on your profits. Pay for the work - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate Tools to use - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate Equipment to use - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate Maintenance of tools and equipment - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate When to start work - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate Where to work within the principal’s license - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate Whether to hire helpers - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate How much to pay helpers - Select -The principal makes or has the right to make decisionsYou make decisions about/negotiate Please rank the impact of these decisions on your profits. ‘One’ represents the highest impact on the individual’s profits and ‘eight’ the lowest impact on your earnings. Questions 1 2 3 4 5 6 7 8 Pay for the work 1 2 3 4 5 6 7 8 Tools to use 1 2 3 4 5 6 7 8 Equipment to use 1 2 3 4 5 6 7 8 Maintenance of tools and equipment 1 2 3 4 5 6 7 8 When to start work 1 2 3 4 5 6 7 8 Where to work within the principal’s license 1 2 3 4 5 6 7 8 Whether to hire helpers 1 2 3 4 5 6 7 8 How much to pay helpers 1 2 3 4 5 6 7 8 Part 4 Serving the general public A - You don’t make your services available to the general public except on behalf of the principal. You collect and/or pay HST for the principal or Employment Insurance, Canada Pension Plan or income tax are deducted from your pay. B - You can sell the logs to other purchasers for the best price possible. You publicly advertise your services in the newspaper or other trade publications. You also file HST returns on your own behalf and no Employment Insurance, Canada Pension Plan or income tax is deducted from your pay. Services rendered personally A - You need the principal’s approval to hire others to do the work. B - You don’t need the principal’s approval to hire others to do the work Set hours of work A - The principal schedules cutting and skidding or other woodland operations. The principal also decides the date the woodland operations can begin and the duration of the project. B - You schedule and do the work in your own way. Full-time required A - You work full-time only for the principal. You’re restricted from working for other principals once granted a contract. B - You’re free to work when and for whomever you choose. Working for more than one principal at a time A - You usually work for one principal at a time B - You work for more than one principal at a time. Continuing relationship A - You work for the same principal continuously (year after year). B - There is no continuous relationship between you and the principal. Right to terminate A - You or the principal can end the work relationship at any time without penalty for breach of contract. B - You agree to complete a specific job and are responsible for its satisfactory completion or else subject to legal penalties for breach of contract. Hiring others A - If you hire, supervise or pay helpers, you do so as directed by the principal OR The principal pays helpers directly and has the recorded earnings records of your helpers. B - You file an income tax return claiming the amounts paid to all helpers you hire as expenses against your income. Continuing need for service A - The combined hours of work of all people (including you) who provide the same type of service you provide for the principal equals 40 hours per month or more (on average in a year). B - The combined hours of work of all people who provide the same type of service you provide for the principal is less than 40 hours per month (on average in a year). How many "A" you selected as your response in Part 4 How many "B" you selected as your response in Part 4 Based on your answers, you’re a worker under the Workplace Safety and Insurance Act. Based on your answers, you’re an independent operator under the Workplace Safety and Insurance Act. DeclarationTo the best of my knowledge, information and belief, the information provided is true.I/we understand the WSIB reserves the right to audit and verify these responses. If these responses don’t truly represent the nature of the working relationship, the WSIB may reverse the determination of status retroactively to the date that the working relationship began.By submitting this form, the individual acknowledges that if they experience a work-related injury or illness, they won’t be eligible for any WSIB benefits unless they request optional insurance coverage and the WSIB approves it.Personal information on this form is collected under the authority of the Workplace Safety and Insurance Act and may be used to register/determine your status for coverage and to administer to enforce the act. First name Last name Email address Date Address Street address City Province - Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal code Phone number Principal validationWe’ll send a copy of this completed questionnaire to the principals you provide. They’ll have two business days to validate this form. If we don’t receive a response within two business days, we’ll adjudicate the questionnaire with a decision. Principal name Email address Position WSIB account number Please email us at employeraccounts@wsib.on.ca or send us a message through our online services if you have any questions. Leave this field blank
