Employment Eligibility Verification
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-9
OMB No.1615-0047
Expires 05/31/2027
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 1-9. 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 1-9 no later than the first day of employment, but not before accepting a job offer.
Name
First Name
Middle Initial
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth (mm/dd/yyyy)
-
Month
-
Day
Year
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 States
2. A noncitizen national of the United States (See Instructions.)
3. A lawful permanent resident (Enter USCIS or A-Number.)
4. An alien authorized to work until (exp. date, if any)
If you check Item Number 4., enter one of these:
OR
OR
Signature of Employee
Today's Date (mm/dd/yyyy)
-
Month
-
Day
Year
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.
List A
Document Title 1
Issuing Authority
Document Number (if any)
Expiration Date (if any)
Document Title 2 (if any)
Issuing Authority
Document Number (if any)
Expiration Date (if any)
Document Title 3 (if any)
Issuing Authority
Document Number (if any)
Expiration Date (if any)
OR
List B
AND List C
1
2
3
4
Issuing Authority
Document Number (if any)
Expiration Date (if any)
Document Title 3 (if any)
Issuing Authority
Document Number (if any)
Expiration Date (if any)
Additional Information
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.
First Day of Employment (mm/dd/yyyy):
-
Month
-
Day
Year
Date
Last Name, First Name and Title of Employer or Authorized Representative
Signature of Employer or Authorized Representative
Today's Date (mm/dd/yyyy)
-
Month
-
Day
Year
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
on Page 4.
Form 1-9 Edition 01/20/25
Page 1 of 4
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LISTS OF ACCEPTABLE DOCUMENTS
All documents containing an expiration date must be unexpired.
* Documents extended by the issuing authority are considered unexpired.
Employees may present one selection from List A or a
combination of one selection from List B and one selection from List C.
Examples of many of these documents appear in the Handbook for Employers (M-274).
Examples of many of these documents appear in the Handbook for Employers (M-274).
OR
LIST B Documents that Establish Identity AND
LIST c 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 4. Employment Authorization Document that contains a photograph (Form I-766)
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
5. For an individual temporarily authorized to work for because a specific employer 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 the form. on
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
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
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.
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.
OR
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.
Form 1-9 Edition 01/20/25
Page 2 of 4
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Supplement A, Preparer and/or Translator Certification for Section 1
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-9
Supplement A
OMB No. 1615-0047
Expires 05/31/2027
Last Name (Family Name) from Section 1.
First Name
Middle Initial
Last Name
Instructions: This supplement must be completed by any preparer and/or translator who assists an employee in completing Section 1 of Form I-9. The preparer and/or translator must enter the employee's name in the spaces provided above. Each preparer or translator must complete, sign, and date a separate certification area. Employers must retain completed supplement sheets with the employee's completed Form I-9.
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
Date (mm/dd/yyyy)
-
Month
-
Day
Year
Date
Last Name (Family Name)
First Name
Middle Initial
Last Name
Address (Street Number and Name)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
Date (mm/dd/yyyy)
-
Month
-
Day
Year
Date
Last Name (Family Name)
First Name
Middle Initial
Last Name
Address (Street Number and Name)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
Date (mm/dd/yyyy)
-
Month
-
Day
Year
Date
Last Name (Family Name)
First Name
Middle Initial
Last Name
Address (Street Number and Name)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
Date (mm/dd/yyyy)
-
Month
-
Day
Year
Date
Last Name (Family Name)
First Name
Middle Initial
Last Name
Address (Street Number and Name)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Form 1-9 Edition 01/20/25
Page 3 of 4
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Supplement B, Reverification and Rehire (formerly Section 3)
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-9
Supplement B
OMB No. 1615-0047
Expires 05/31/2027
Last Name (Family Name) from Section 1.
First Name
Last Name
First Name (Given Name) from Section 1.
First Name
Last Name
Middle initial (if any) from Section 1.
First Name
Last Name
Instructions: This supplement replaces Section 3 on the previous version of Form 1-9. Only use this page if your employee requires reverification, is rehired within three years of the date the original Form 1-9 was completed, or provides proof of a legal name change. Enter the employee's name in the fields above. Use a new section for each reverification or rehire. Review the Form 1-9 instructions before completing this page. Keep this page as part of the employee's Form 1-9 record. Additional guidance can be found in the
Handbook for Employers: Guidance for Completing Form 1-9 (M-274)
Date of Rehire (if applicable)
-
Month
-
Day
Year
Date
New Name (if applicable)
First Name
Middle Initial
Last Name
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.
Document Title
Document Number (if any)
Expiration Date (if any) (mm/dd/yyyy)
-
Month
-
Day
Year
Date
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it
Name of Employer or Authorized Representative
Signature of Employer or Authorized Representative
Today's Date (mm/dd/yyyy)
-
Month
-
Day
Year
Date
Additional Information (Initial and date each notation.)
Check here if you used an alternative procedure authorized by DHS to examine documents.
Date of Rehire (if applicable)
-
Month
-
Day
Year
Date
New Name (if applicable)
First Name
Middle Initial
Last Name
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.
Document Title
Document Number (if any)
Expiration Date (if any) (mm/dd/yyyy)
-
Month
-
Day
Year
Date
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it
Name of Employer or Authorized Representative
Signature of Employer or Authorized Representative
Today's Date (mm/dd/yyyy)
-
Month
-
Day
Year
Date
Additional Information (Initial and date each notation.)
Check here if you used an alternative procedure authorized by DHS to examine documents.
Date of Rehire (if applicable)
-
Month
-
Day
Year
Date
New Name (if applicable)
First Name
Middle Initial
Last Name
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.
Document Title
Document Number (if any)
Expiration Date (if any) (mm/dd/yyyy)
-
Month
-
Day
Year
Date
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it
Name of Employer or Authorized Representative
Signature of Employer or Authorized Representative
Today's Date (mm/dd/yyyy)
-
Month
-
Day
Year
Date
Additional Information (Initial and date each notation.)
Check here if you used an alternative procedure authorized by DHS to examine documents.
Form 1-9 Edition 01/20/25
Page 4 of 4
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