Independent Contractor Videographers
Please answer the questions below in order to be considered for assignments by Phipps Reporting.
Email address *
Full Name *
Street Address *
City *
State: *
ZIP *
Cell Phone Number *
Cell Phone Provider
Home Phone Number
Company Name / DBA
Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Social Security or Tax ID (used for reporting income on your 1099)
Clear selection
Tax Number
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Cell Phone
What type of position are you seeking? *
How many years have you been working as a legal videographer?
Make and model of video camera you use
Make and model of mixer you use
Check the following microphone types you use
Do you use a backdrop?
Clear selection
Do you use lighting equipment?
Clear selection
Briefly explain the conditions in which you would utilize lighting equipment?
Please check each of the following you have experience in providing:
Please check the proceedings you are willing to cover:
Check all items that you are able to provide if requested:
Are you capable of providing a draft video on site?
Clear selection
Do you create a simultaneous backup?
Clear selection
Briefly describe your method for creating a simultaneous backup.
What is your highest level of education?
Clear selection
Name of your college degree
Briefly state how you learned the videography craft.
Do you have the NCRA CLVS certification
Clear selection
Briefly list any other videography-related certifications or certificates you hold.
Are you an NCRA member?
Clear selection
List each state court reporting association of which you are a member
Please list any volunteer committees or leadership positions you have served for your state and/or NCRA
List each current state notary number and expiration date
List each "county, state" you are authorized and willing to travel to work (very important to list each one so we have you as available for that geographic region)
Do you have a current passport?
Clear selection
List the countries other than USA in which you have performed videography services
List languages you speak other than English
How were you referred to Phipps Reporting?
If you carry professional liability insurance, please state carrier and amount *
On a scale of 1 - 5, how much do you love legal videography?
Do not like at all
Love this profession
Clear selection
Use three adjectives to describe yourself
Anything else you would like us to know?
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