LBM-OHDDS-OPERS-04-2025.pdf

This document is an Independent Contractor Acknowledgement Form from the Opportunities for Ohioans with Disabilities (OOD) agency, addressing requirements under Ohio Revised Code (R.C.) 145.038. The form pertains to LBM Systems, LLC, and involves the Ohio Public Employees Retirement System (OPERS), with the purpose of clarifying the independent contractor status and retirement system contributions for contractors beginning services on or after January 7, 2013.

The document specifies that independent contractors who are not employed by a "business entity" with five or more employees may request OPERS determination of their employment status. In this case, LBM Systems, LLC has indicated they have five or more employees and are either a corporation, association, firm, limited liability company, partnership, sole proprietorship, or other business entity. The form serves as an administrative requirement for contract processing, with OOD stipulating they will not sign the associated agreement until this acknowledgement form is completed and returned.