I-9 Employment Eligibility Verification

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 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.

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 Initial (if any)Other Last Names Used (if any)
Address (Street Number and Name)*
Apt. Number (if any)
City or Town*
State*
ZIP Code*
Date of Birth (mm/dd/yyyy)*

MonthDayYear
Date
U.S. Social Security Number*
Employee's Email Address*
example@example.com
Employee's Telephone Number*
Check one of the following boxes to attest to your citizenship or immigration status See page 2 and 3 of the instructions

1. A citizen of the United States2. A noncitizen national of the United States See Instructions3. A lawful permanent resident Enter USCIS or A-Number4. A noncitizen (other than Item Numbers 2. and 3. above) authorized to work until (exp. date, if any)
4. A noncitizen (other than Item Numbers 2. and 3. above) authorized to work until (exp. date, if any)

MonthDayYear
Date
If you check Item Number 4., enter one of these:
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.
USCIS A-Number
OR
Form I-94 Admission Number
OR
Foreign Passport Number and Country of Issuance
Signature of Employee*
Today's Date (mm/dd/yyyy)*

MonthDayYear
Date
If a preparer and/or translator assisted you in completing Section 1, that person MUST complete the Preparer and/or Translator Certification on Page 3.

Section 2. Employer Review and Verification: Employers or their authorized representative must complete and sign Section 2 within three business days after the employee's first day of employment, and must physically examine, or examine consistent with an alternative procedure authorized by the Secretary of DHS, documentation from List A OR a combination of documentation from List B and List C. Enter any additional documentation in the Additional Information box; see Instructions.
Additional Information

Check here if you used an alternative procedure authorized by DHS to examine documents.
Check here if you used an alternative procedure authorized by DHS to examine documents.
Certification: I attest, under penalty of perjury, that (1) I have examined the documentation presented by the above-named employee, (2) the above-listed documentation appears to be genuine and to relate to the employee named, and (3) to the best of my knowledge, the employee is authorized to work in the United States.
Last Name, First Name and Title of Employer or Authorized Representative
Signature of Employer or Authorized Representative
Today's Date (mm/dd/yyyy)

MonthDayYear
Date
Employer's Business or Organization Name
Employer's Business or Organization Address, City or Town, State, ZIP Code
For reverification or rehire, complete Supplement B, Reverification and Rehire, Please contact the office.
Documents that Establish Employment Authorization
1.U.S. Passport or U.S. Passport Card

2.Permanent Resident Card or Alien Registration Receipt Card (Form I-551)

3.Foreign passport that contains a temporary I-551 stamp or temporary I-551 printed notation on a machine- readable immigrant visa

1.Driver's license or ID card issued by a State or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address

1.A Social Security Account Number card, unless the card includes one of the following restrictions:

(1)NOT VALID FOR EMPLOYMENT (2)VALID FOR WORK ONLY WITH INS AUTHORIZATION (3)VALID FOR WORK ONLY WITH DHS AUTHORIZATION

4.Employment Authorization Document that contains a photograph (Form I-766)

2.ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address

5.For an individual temporarily authorized to work for a specific employer because of his or her status or parole: a.Foreign passport; and b.Form I-94 or Form I-94A that has the following: (1)The same name as the passport; and (2)An endorsement of the individual's status or parole as long as that period of endorsement has not yet expired and the proposed employment is not in conflict with any restrictions or limitations identified on the form.

3.School ID card with a photograph

2.Certification of report of birth issued by the Department of State (Forms DS-1350,

5.U.S. Military card or draft record

6.Military dependent's ID card

3.Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal

7.U.S. Coast Guard Merchant Mariner Card

4.Native American tribal document

8.Native American tribal document

5.U.S. Citizen ID Card (Form I-197)

9.Driver's license issued by a Canadian government authority

6.Identification Card for Use of Resident Citizen in the United States (Form I-179)

For persons under age 18 who are unable to present a document listed above:

7.Employment authorization document issued by the Department of Homeland Security

10.School record or report card

6.Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form I-94 or Form I-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI

For examples, see Section 7and Section 13of the M-274 on uscis.gov/i-9-central.

11.Clinic, doctor, or hospital record
12.Day-care or nursery school record
The Form I-766, Employment Authorization Document, is a List A, Item Number 4. document, not a List C document.
Acceptable Receipts
May be presented in lieu of a document listed above for a temporary period. For receipt validity dates, see the M-274.

Receipt for a replacement of a lost, stolen, or damaged List A document. Form I-94 issued to a lawful permanent resident that contains an I-551 stamp and a photograph of the individual. Form I-94 with “RE” notation or refugee stamp issued to a refugee.

Receipt for a replacement of a lost, stolen, or damaged List B document.

Receipt for a replacement of a lost, stolen, or damaged List C document.

*Refer to the Employment Authorization Extensions page on I-9 Central for more information.
Should be Empty:

Employment Eligibility Verification

USCIS

Department of Homeland Security

Form I-9

USCIS A-Number

Form I-94 Admission Number

Foreign Passport Number and Country of Issuance

Documents that Establish Employment Authorization

Acceptable Receipts