I9 Form Employment Eligibility Verification

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 I-9 no later than the first day of employment, but not before accepting a job offer.
Name

First NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / 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
Format: (000) 000-0000.
Check one of the following boxes to attest to your citizenship or immigration status (See page 2 and 3 of the instructions.):
If you check Item Number 4., enter one of these:
USCIS A-Number
Form I-94 Admission Number
Foreign Passport Number and Country of Issuance
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.
Signature of Employee
Today's Date (mm/dd/yyyy)

MonthDayYear
Date
Should be Empty:

Employment Eligibility Verification

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.