Form I-9

Department of Homeland Security
U.S. Citizenship and Immigration Services
Form I-9
OMB No. 1615-0047
Expires 07/31/2026


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.)

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.

I attest, under penalty of perjury, that I am (check one of the following boxes) *

If you check Item Number 4., enter one of the following:

for Foreign Passport

Signature Required

Preparer and/or Translator Certification

If a preparer and/or translator assisted you in completing Section 1, that person MUST complete this section.

Check One

This section must be completed by any preparer and/or translator who assists an employee in completing Section 1 of Form I-9.  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.

of preparer/translator
of preparer/translator
of preparer/translator
Address of Preparer/Translator
Address of Preparer/Translator


Your employer is required to verify your documents and complete section 2 of this form. Is your employer present? *

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.
Employee Info from Section 1
Lists of Acceptable Documents Click Here
Please Select the Appropriate Document List(s)

LIST A - Documents that Establish Both Identity and Employment Authorization

LIST B - Documents that Establish Identity

LIST C - Documents that Establish Employment Authorization

Certification: I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee,
(2) the above-listed document(s) appear 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.
(See instructions for exemptions)

Employer's Business Address

Supplement B - Reverification and Rehire

This supplement B section replaces Section 3 on the previous version of Form I-9. Only complete this section if your employee requires reverification, is rehired within three years of the date the original Form I-9 was completed, or provides proof of a legal name change.
Review the Form I-9 instructions before completing this section. Keep this page as part of the employee's Form I-9 record. Additional guidance can be found in the Handbook for Employers: Guidance for Completing Form I-9 (M-274).
Choose One:
New Name (if applicable):
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.

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.
only needed if Section 3 was completed


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