PRIMARY LOCATION ADDRESS (Physical Address only - no PO Box)
MAILING ADDRESS (please provide if mail is not delivered to the Primary Location address)
E-VERIFY SIGNATORY Please list the authorized contact who E-Verify will email to electronically sign the Memorandum of Understanding (MOU)
Form I-9 Compliance LLC (Fi9) is your E-Verify Web Services Employer Agent for utilizing the E-Verify Program. As such, Fi9 is responsible for providing a Memorandum of Understanding (MOU) that must be executed by the Department of Homeland Security (DHS), the Employer, and Fi9.
Once Fi9 receives this Registration Form, it will be submitted to DHS for E-Verify participation and they will generate a MOU for your organization. The MOU will need to be signed before DHS can activate E-Verify participation for your organization.
Your Organization Designation:
E-Verify has unique requirements for certain organizational types and its important to determine if your organization is a Federal Contractor, with or without the Federal Acquisition Regulation (FAR) E-Verify clause; or a federal, state, or local government-organization.
If you select one of those categories, additional information will be necessary below. If none of these apply to your organization, you may select "None of these apply".
FEDERAL GOVERNMENT: Select if your organization is part of the fed. govt such as federal agencies, govt-owned corporations and Congress.
STATE GOVERNMENT: Select if your organization is part of a U.S. state or territorial govt such as state agencies, state-owned enterprises, and state legislatures. If your organization is part of a state or territorial govt & required to use E-Verify due to a federal contract with FAR E-Verify clause, select ‘Federal Contractor with FAR E-Verify Clause’.
LOCAL GOVERNMENT: Select if your organization is part of a U.S. local govt such as counties, local municipalities, cities, towns, and villages. If your organization is part of a U.S. local govt required to use E-Verify because it has a federal contract with FAR E-Verify clause, select ‘Federal Contractor with FAR E-Verify Clause’.
FEDERAL CONTRACTOR without FAR E-Verify CLAUSE: Select if your organization contracts with the U.S. federal govt, but HAS NO contract with FAR E-Verify clause. Also select this if organization is a subcontractor on contracts in which none of the contracts contains the FAR E-Verify clause.
FEDERAL CONTRACTOR with FAR E-Verify CLAUSE: Select if your organization contracts with the U.S. federal govt and HAS a contract with FAR E-Verify clause. Also select if organization is a subcontractor on any contract with FAR E-Verify Clause.
What Best Describes Your Organization?
STATE or LOCAL GOVERNMENT: if your organization is part of a U.S. state, territorial or local govt such as state agencies, state-owned enterprises, & state legislatures. Common local govt's include counties & local municipalities, such as cities/towns/villages.
SURETIES: Also called a guarantor, promises to assume responsibility for the debt obligation of a borrower if that borrower defaults. Select only if your organization is a surety performing under a takeover agreement entered into with a federal agency pursuant to a performance bond.
INSTITUTION of HIGHER EDUCATION: your organization is an institution of higher education as defined 20 U.S.C. §1001(a).
FEDERALLY RECOGNIZED INDIAN TRIBE: organization is a federally recognized Indian tribe. A federally recognized Indian tribe is an American Indian or Alaska Native tribal entity that is recognized as having a government-to-government relationship with the United States, with the responsibilities, powers, limitations, and obligations attached to that designation, and is eligible for funding & services from the U.S. Bureau of Indian Affairs.
NONE OF THESE APPLY: if none of the other categories apply to your organization.
What Employees Will Your Company Verify?
The federal contractor rule has minimum requirements regarding which employees your organization must verify. The rule also permits your organization to verify additional employees beyond the minimum requirements. As an institution of higher education, a state or local government, a federally recognized Indian tribe or a surety, your organization has three options.
Only employees assigned to a covered Federal Contract: Select this option if your organization intends to verify all of its newly hired and existing employees assigned to a covered contract only.
New-hires & existing employees assigned to federal contract: Select this option if your organization intends to verify all of its newly hired employees throughout the organization and all existing employees assigned to a covered contract.
Entire workforce (all new hires and existing employees throughout company): Select this option if your organization intends to verify its entire workforce, which includes all newly hired and existing employees throughout the organization except for exempt employees. By selecting this option, you are providing notification to the U.S. Department of Homeland Security (DHS) that you have elected to verify your entire workforce. Selecting this option is permanent—you are not permitted to change your decision once your organization begins verifying its existing workforce outside a covered contract.
If multiple hiring sites will use the E-Verify System, please list the full address for each additional hiring site below.
1. Enter your email below and click to sign with Adobe Sign
2. A completed copy will be emailed to you immediately after you sign
3. Personally forward the completed copy to your service provider
1. Click on the "Print" button below
2. Sign, date, and scan
3. Forward a copy to your service provider