Form I-9

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

Click for Instructions

FORM I-9

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.)
Address
Address
City
State/Province
Zip/Postal

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.

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:

Preparer and/or Translator Certification for Section 1

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

Please Check One

Instructions: 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.

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
Address
Address
City
State/Province
Zip/Postal

Section 2. Employer or Authorized Representative Review and Verification

(Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. You must physically examine one document from List A OR a combination of one document from List B and one document from List C as listed on the "Lists of Acceptable Documents.")
Employee Info from Section 1

LIST A - IDENTITY AND EMPLOYMENT AUTHORIZATION




LIST B - IDENTITY

LIST C - EMPLOYMENT AUTHORIZATION

EMPLOYER SIGNATURE

Employer's Business Address

Section 3. Reverification and Rehires

(To be completed and signed by employer or authorized representative.)

A. New Name (if applicable)

B. Date of Rehire (if applicable)

C. If the employee's previous grant of employment authorization has expired, provide the information for the document or receipt that establishes continuing employment authorization in the space provided below.