Palmetto Compliance & Testing | Employer I-9 Service Request Form

Palmetto Compliance & Testing | Employer I-9 Services Request Form

Please complete this form to request Form I-9 verification services for your organization. Palmetto Compliance & Testing provides authorized representative and on-site verification support for individual employees, multiple employees, and employer service needs. Submission of this form does not confirm an appointment. Once your request is reviewed, Palmetto Compliance & Testing will contact you regarding service availability, scheduling, requirements, and applicable fees.
- Company/Organization Name
- Contact Person's Full Name
  
  First NameLast Name
- Job Title
- Email Address
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- What type of I-9 service are you requesting?
- Number of employees requiring verification?
- Employee | Work Arrangement
  
  Other
- Preferred Service Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Preferred Time Range
- Preferred times are requested for planning purposes only and are subject to availability. Final scheduling will be confirmed by Palmetto Compliance & Testing.
- Alternative Service Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Alternative Time Range
- Is mobile/on-site service being requested?
- If Yes, Please provide the mobile/on-site service address (If different from the one above.)
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Will Palmetto Compliance & Testing receive employer-specific Form I-9 instructions or authorization?
- How will the completed verification / documentation need to be returned?
- I understand that submitting this form is a request for I-9 verification services and does not confirm an appointment or service availability. Palmetto Compliance & Testing will review the request and contact me regarding scheduling, service requirements, and applicable fees.
- By submitting this request, I consent to being contacted by Palmetto Compliance & Testing regarding this I-9 service request using the contact information provided above.
- By submitting this form, I certify that the information I have provided to Palmetto Compliance & Testing is accurate to the best of my knowledge. I understand that this submission is a request for I-9 verification services and does not confirm an appointment, service availability, or completion of Form I-9. Additional information, employer instructions, or documentation may be required before services are provided.
- Requestor Signature
- Date Signed
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Palmetto Compliance & Testing | Employer I-9 Services Request Form