Form I-9

Employment Eligibility Verification
USCIS
Department of Homeland Security
Form I-9
U.S. Citizenship and Immigration Services

OMB No. 1615-0047 Expires 07/31/2026

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 below and the instructions.

ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation tp presemt 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 orgin may be illegal.

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.
Last Name (Family Name)
Name

First Name (Given Name)Middle InitialOther Last Names Used (if any)
Address (Street Number and Name)
Apt. Number
City or Town
State
ZIP Code
Date of Birth (mm/dd/yyyy)

MonthDayYear
Date
U.S. Social Security Number
Employee's E-mail Address
example@example.com
Employee's Telephone Number
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form. I attest, under penalty of perjury, that I am (check one of the following boxes)

1. A citizen of the United States2. A noncitizen national of the United States (See instructions)3. A lawful permanent resident4. A noncitizen (other than Item Numbers 2. and 3. above) authorized to work until (exp. date if any)
3. (Alien Registration Number/USCIS Number)
4. An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy):

MonthDayYear
Date
Pick 1,2, or 3

Some aliens may write "N/A" in the expiration date field. (See instructions) Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.
1. Alien Registration Number/USCIS Number:
2. Form I-94 Admission Number
3. Foreign Passport Number and Country of Issuance
Signature of Employee

Clear
Today's Date (mm/dd/yyyy)

MonthDayYear
Date
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.
Signature of Preparer or Translator

Clear
Today's Date (mm/dd/yyyy)

MonthDayYear
Date
Name

First Name (Given Name)Last Name (Family Name)
Address

Address (Street Number and Name)

Street Address Line 2

City or TownState / Province

Postal / Zip Code
State
ZIP Code
Last Name (Family Name)
Should be Empty:

Employment Eligibility Verification

USCIS

Department of Homeland Security

Form I-9

Pick 1,2, or 3