NHK-I-9

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

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:

I acknowledge that signing with my electronic signature is the legal equivalent of my manual/handwritten signature on this Agreement.

Preparer and/or Translator Certification

If a preparer and/or translator assisted you in completing Section 1, that person MUST complete the Preparer and/or Translator Certification section below.
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
Address
City
State/Province
Zip/Postal