Minnesota - New Hire Packet

Instructions
This portal will guide you through the process of completing the following forms:

Federal I-9
Federal W4

State W-4MN

Documents that establish both identity and employment authorization will need to be uploaded in accordance with the I-9. A list of approved documents is noted below.

Employment Eligibility Verification

USCIS Form I-9Department of Homeland Security
Employment Eligibility Verification Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-9

OMB No. 1615-0047

Expires 10/31/2022
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.)
Name*

First Name Middle Initial Last Name Other Last Name
Address*

Street Address

Street Address Line 2

City State

Zip Code Country
Date of birth*

MonthDay Year
Date
Social Security Number (numbers only)*
Email*
example@example.com
Phone Number*

Area Code Phone Number
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with completion of this form. I attest, under penalty of perjury, that I am (check one of the following boxes):*

1. Citizen of the United States2. A noncitizen national of the United States (see instructions)A lawful permanent residentAn alien authorized to work
Alien registration number/USCIS Number
If an alien authorized to work please enter work expiration date.

MonthDay Year
Date
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: Alien Registration number/USCIS number or I-94 admission number or foreign passport number.

1. Alien Registration Number/USCIS NumberForm I-94 Admission NumberForeign Passport Number
Alien Registration Number/USCIS Number
Form I-94 Admission Number
Foreign Passport Number
Country of Issuance
Signature of employee*

Signature (Stylus or finger) Clear
Today’s date*

MonthDay Year
Date
Preparer and/or Translator (Check one)*

I did not use a preparer or translatorI did use a preparer and/or translator
Preparer or translator signature

Clear
Date signed

MonthDay Year
Date
Name of preparer or translator

First Name Last Name
Address of preparer or translator

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Upload a picture or your list A/B Document to validate your identification (See below for examples)*
Upload a Picture of your List C Document to validate your identification (See below for examples)

Instructions

Employment Eligibility Verification

Step 2(b) - Multiple Jobs Worksheet