Form – Individual Contractor Registration

Instructions for Completing the Kanawha County Schools Individual Contractor Registration Form

Thank you for your interest in providing services to Kanawha County Schools as an individual contractor. This form is specifically designed for individuals who are exempt from registering with the West Virginia Secretary of State and the West Virginia State Tax Division because your services meet all the following conditions:

1. You are not required by law to collect or withhold a tax.
2. You do not claim exemption from payment of the West Virginia Consumers Sales and Service Tax or Use Tax.
3. You had a gross income from business activity of $4,000 or less from operations in all states during the income tax year most recently completed (e.g., for the 2024 tax year ending December 31, 2024).

This form is intended for individuals only, who are engaged in limited duty capacities, such as security officers, game officials, show choir judges, and disc jockeys, who perform a single event or task and do not conduct ongoing business activities in the State of West Virginia. 

By completing this form, the individual is attesting that they are not working on behalf of a business entity such as an LLC or corporation and that the limited capacity duties combined with the income and tax limitations above, do not trigger the “transacting business” requirements outlined in WV law.  An individual is exempt from registering with the WV State Tax Division for a business registration certificate if the activity performed is an isolated transaction, the individual is not required to collect or withhold taxes, and no exemptions are being claimed from sales/use tax.  Gross income from all business activities across all states cannot exceed $4,000 in the most recent tax year.

Vendor Information

TIN(Required)

Date(Required)

MM slash DD slash YYYY

Contractor Name(Required)

Contractor Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Contact/Preparer Name(Required)

First Last

Contact/Preparer Job Title

Contact/Preparer Email Address(Required)

Please make sure this email address is accurate. This address will be used to notify you after your Vendor Request has been processed (including the Vendor Number if accepted).

Contact/Preparer Phone(Required)

Phone Extension

W-9 Form

*Upload W-9 Form(Required)

Max. file size: 256 MB.

*This is required to be a registered vendor with Kanawha County Schools.
You can download a blank W9 form here.
If you need time to fill out and upload this W9 form, click “Save and Continue” at the bottom of this form and follow the instructions.

Signature

Please sign to verify that all entered information is true.

Signature

Signature Date

MM slash DD slash YYYY

This field is hidden when viewing the form

Director Date

MM slash DD slash YYYY

Save and Continue Later