Form I-9 (Employment Eligibility Verification)

Who is filling out this form?

EmployerEmployee

Did a preparer or translator assist the employee in completing this form?

Did a preparer or translator assist the employee in completing this form? YesNo (most common)

How many preparers or translators assisted the employee?

How many preparers or translators assisted the employee? One personTwo peopleThree peopleFour people

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Note: You may update your answer if you are returning to this form.

If you did not receive the assistance of a translator or preparer when initially filling out this form, but are receiving assistance for reverification or rehiring, you can select the number of people assisting you.

Or, if you did receive assistance the first time, and are receiving assistance from a different person or persons for reverification or rehiring, you can modify the selection.

What is the employee's date of birth?

Do you want to enter the employee's Social Security number?

Do you want to enter the employee's Social Security number? YesNot right now

Providing a Social Security number is not required unless the employer participates in e-Verify. If you are unsure whether the employer participates in e-Verify, you can leave this field blank for now and return to it later.

Employee's Social Security number:

Enter the number without dashes.

Do you know the date of the employee's first day of work?

Do you know the date of the employee's first day of work? YesNot yet

Employee's first day of work:

Enter the name of the employer's business or organization:

Do you want to enter the business's address at this time?

Do you want to enter the business's address at this time? YesNo, I'll do this later

Address:

Enter the address in the following format: Street address, unit number (if any), city, state, ZIP code

Do you want to enter the employee's address and contact info at this time?

Do you want to enter the employee's address and contact info at this time? YesNo, I'll do this later

Enter the employee's street address:

Apartment or unit number (if any):

(If none, leave blank)

City or town:

State:

ZIP Code:

Employee's phone number:

Employee's email address:

What is the authorized employer's name and title?

Enter the employer's name and title using [First Name, Last Name: Title] format.

For example: "Smith, Mary: General Manager" or "Smith, John: Human Resources Manager."

Enter the employee's full name:

First Name:

Middle Initial:

Last Name:

Has the employee ever used any OTHER last names?

Has the employee ever used any OTHER last names? YesNo

Previously used last name(s):

Is the employer enrolled in e-Verify?

Is the employer enrolled in e-Verify? YesNo

Only employers who participate in the government's e-Verify program are eligible to review an employee's required employment documents remotely.

Only employers who participate in the government's e-Verify program are eligible to review an employee's required employment documents remotely. I understand.

Employers who are not enrolled in e-Verify must conduct a physical inspection of the required employee identity and work eligibility documents.

What is the employee's citizenship/immigration status?

What is the employee's citizenship/immigration status? U.S. citizenNoncitizen U.S. nationalLawful permanent residentAlien authorized to work

Enter the employee's USCIS or A-Number:

When does the employee's work authorization expire?

Enter the expiration date for the document authorizing the employee to work, such as an approved I-765.

Those whose employment authorization does not have an expiration date, such as refugees and asylees, should enter "N/A"

Which of the following means of identification is the employee able to provide?

Which of the following means of identification is the employee able to provide? USCIS A-NumberForm I-94 Admission NumberForeign Passport Number

Enter the USCIS A-Number:

Enter the Form I-94 Admission Number:

Enter the Foreign Passport Number and country of issuance:

The employee must complete their sections of this form no later than their first day of employment after accepting a job offer.

The employee must complete their sections of this form no later than their first day of employment after accepting a job offer. I understand.

First Preparer/Translator:

Preparer/translator's full name:

First Name:

Middle Initial:

Last Name:

Do you want to enter this person's address at this time?

Do you want to enter this person's address at this time? YesNo, I'll do this later

Street address:

(Include apartment or unit number, if any)

City or town:

State:

ZIP Code:

The person named above must attest, under penalty of perjury, that they have assisted in completing Section 1 of this form and that to the best of their knowledge, the information is true and correct.

Second Preparer/Translator:

Preparer/translator's full name:

First Name:

Middle Initial:

Last Name:

Do you want to enter this person's address at this time?

Do you want to enter this person's address at this time? YesNo, I'll do this later

Street address:

(Include apartment or unit number, if any)

City or town:

State:

ZIP Code:

Third Preparer/Translator:

Preparer/translator's full name:

First Name:

Middle Initial:

Last Name:

Do you want to enter this person's address at this time?

Do you want to enter this person's address at this time? YesNo, I'll do this later

Street address:

(Include apartment or unit number, if any)

City or town:

State:

ZIP Code:

Fourth Preparer/Translator:

Preparer/translator's full name:

First Name:

Middle Initial:

Last Name:

Do you want to enter this person's address at this time?

Do you want to enter this person's address at this time? YesNo, I'll do this later

Street address:

(Include apartment or unit number, if any)

City or town:

State:

ZIP Code:

The employee's required employment documentation must be examined within 3 days of their first day of work.

The employee's required employment documentation must be examined within 3 days of their first day of work. I understand.

Do you want to enter the details of the employee's required documentation at this time?

Do you want to enter the details of the employee's required documentation at this time? YesNo, I'll do this later

What sort of documentation is the employee providing?

What sort of documentation is the employee providing? Documentation from List A (such as a passport)Documentation from List B and List C

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Form I-9 contains three lists of documents that satisfy the form's documentation requirements. The employee must provide documents that establish their identity and their authorization to work in the U.S.

Common List A documents: U.S. passport, Permanent Resident Card, Employment Authorization Document

Common List B and List C documents: Driver's license, government ID card, school ID card, SSN card

How many documents from List A are being reviewed?

How many documents from List A are being reviewed? One document (most common)Two documentsThree documents

Enter the title, issuing authority, and number and expiration date (if applicable) for the document from List A:

Enter the title, issuing authority, and number and expiration date (if applicable) for the FIRST document from List A:

Document title:

Issuing authority:

This is the agency, entity, or organization responsible for issuing the document.

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Enter the title, issuing authority, and number and expiration date (if applicable) for the SECOND document from List A:

Document title:

Issuing authority:

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Enter the title, issuing authority, and number and expiration date (if applicable) for the THIRD document from List A:

Document title:

Issuing authority:

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Enter the title, issuing authority, and number and expiration date (if applicable) for the document from List B:

Document title:

Issuing authority:

This is the organization or agency responsible for issuing the document. For a driver's license, it is acceptable to enter the state name.

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Enter the title, issuing authority, and number and expiration date (if applicable) for the document from List C:

Document title:

Issuing authority:

This is the organization or agency responsible for issuing the document. Common abbreviations, such as "SSA" for Social Security Administration, are acceptable.

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Was the employee's documentation examined remotely?

Was the employee's documentation examined remotely? Yes, their documents were examined remotely.

If the documents were examined in person, leave this field unchecked.

Do you want to include any additional information regarding the employee documentation?

Do you want to include any additional information regarding the employee documentation? Yes (uncommon)No

Additional information:

This section may be used by employers to note, among other things: automatic extensions of EADs; additional documentation presented by those on student or exchange visas; and replacement information for employees who previously presented receipts of documents.

In most cases, this section will be used by employers after the I-9 has already been completed by both parties. If an additional notation is made, employers should print the document again, then date and initial the change.

Is this form being used to rehire or reverify an employee?

Is this form being used to rehire or reverify an employee? YesNo, the employee is being hired for the first time

Is this the first time this employee is being rehired/reverified?

Is this the first time this employee is being rehired/reverified? YesNo, it's the second timeNo, it's the third time

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An employee's original I-9 form can be reused when the employee is rehired within three years of the date that their Form I-9 was first completed. When required, employers may use this section of the form to reverify or rehire the employee who has already filled out the sections of this form marked for "Employees." Employers can use the same Form I-9 to rehire or reverify an employee multiple times within three years of the date on which the employee began work.

Reverification of an employee is required when either (1) the date that the employee indicated, in their portion of Form I-9, that their work authorization expired has lapsed, or (2) one or more of the required documents that the employee used from either List A or List C has expired.

Is the employee being rehired, reverified, or both?

Is the employee being rehired, reverified, or both? RehiredReverifiedBoth

Date of rehire:

Enter the title, number, and expiration date of the documentation being presented by the employee to satisfy reverification:

Document title:

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Did the employee change their legal name?

Did the employee change their legal name? YesNo

Enter the employee's new name:

First Name:

Middle Initial:

Last Name:

Enter the name of the employer or authorized representative reviewing the employee's documents for reverification:

The person named above must attest, under penalty of perjury, that to the best of their knowledge, the employee is authorized to work in the United States and that the documentation they examined appears to be genuine.

Were the employee's documents reviewed and verified remotely?

Were the employee's documents reviewed and verified remotely? Yes, the documents were verified remotely.

If the documents were examined in person, leave this field unchecked.

Date of rehire:

Enter the title, number, and expiration date of the documentation being presented by the employee to satisfy reverification.

Document title:

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Did the employee change their legal name?

Did the employee change their legal name? YesNo

Enter the employee's new name:

First Name:

Middle Initial:

Last Name:

Enter the name of the employer or authorized representative reviewing the employee's documents for reverification:

Were the employee's documents reviewed and verified remotely?

Were the employee's documents reviewed and verified remotely? Yes, the documents were verified remotely.

If the documents were examined in person, leave this field unchecked.

Date of rehire:

Enter the title, number, and expiration date of the documentation being presented by the employee to satisfy reverification.

Document title:

Document number:

(If none, leave blank)

Document expiration date:

(If none, leave blank)

Did the employee change their legal name?

Did the employee change their legal name? YesNo

Enter the employee's new name:

First Name:

Middle Initial:

Last Name:

Enter the name of the employer or authorized representative reviewing the employee's documents for reverification:

Were the employee's documents reviewed and verified remotely?

Were the employee's documents reviewed and verified remotely? Yes, the documents were verified remotely.

If the documents were examined in person, leave this field unchecked.

The employee completing this form must attest, under penalty of perjury, that the information presented, including the information regarding their citizenship or immigration status, is true and correct.

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.

The employer, or their authorized representative, completing this form must attest, under penalty of perjury, that they have examined the employee's documentation, that it appears to be genuine, and that, to the best of their knowledge, the employee is authorized to work in the United States.

The employer, or their authorized representative, must sign and date this document, and retain it for at least three years or at least one year after the employee's last day, whichever comes later.

The employer, or their authorized representative, must sign and date this document, and retain it for at least three years or at least one year after the employee's last day, whichever comes later. I understand.

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