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
Name from Section 1.
First Name
Middle Initial
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
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