Form I-9

START HERE: Employers must ensure the form instructions are available to employees when completing this form. Employers are liable for failing to comply with the requirements for completing this form. See full form and the Instructions.

ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation to present for Form I-9. Employers cannot ask employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or Supplement B, Reverification and Rehire. Treating employees differently based on their citizenship, immigration status, or national origin may be illegal.

Name(Required)

First Middle Initial (if any) Last

Other Last Names Used (if any)

Address(Required)

Street Address Apt Number (if any) City State Zip Code

Telephone Number(Required)

Email Address(Required)

Date of Birth(Required)

SSN (no spaces or dashes)(Required)

Check one of the following boxes to attest to your citizenship or immigration status(Required)

I am aware that federal law provides for imprisonment and/or fines for false statements, or the use of false documents, in connection with the completion of this form. I attest, under penalty of perjury, that this information, including my selection of the box attesting to my citizenship or immigration status, is true and correct.

1. A citizen of the United States

2. A noncitizen national of the United States (See Instructions.)

3. A lawful permanent resident (Enter USCIS or A-Number.)

4. A noncitizen (other than Item Numbers 2. and 3. above) authorized to work until (exp. date, if any)

USCIS or A-Number(Required)

Expiration Date(Required)

If you check Item Number 4., enter one of these:(Required)

Choose which you want to add.

USCIS A-Number

Form I-94 Admission Number

Foreign Passport Number and Country of Issuance

USCIS A-Number(Required)

Form I-94 Admission Number(Required)

Foreign Passport Number and Country of Issuance(Required)

Upload your identification documents(Required)

Employees may present one selection from List A or a combination of one selection from List B and one selection from List C. Click here for a list of acceptable documents

Drop files here or

Max. file size: 16 MB.

Employee Signature(Required)

Today's Date

Form I-9

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