Remote Hire Notary Form printable pdf download

Date: _____________________

Remote Hire Notary Form

To be completed by a Notary Public acting as an Authorized Agent

The Florida State University is requesting you act as our representative to validate identification documents on our

behalf. The U.S. Citizenship and Immigration Services (USCIS) requires employers to verify the employment eligibility of

employees that work in the US based on review of required documents to establish identity and work eligibility. Due to

this employee’s remote employment, we are asking you to serve as our representative in completing the Form I-9 by

examining and identifying the original documents and signing the Form I-9 as our authorized agent. The Form I-9 does

not need to be notarized.

Please follow the link provided below to find the most up-to-date Form I-9 and instructions. The I-9 Instructions should

be read before completion of the I-9. Please refer to the “List of Acceptable Documents” on page 9 of the Instructions

linked below to view the acceptable documents the employee may present.

I-9 Form:

Completing the Remote I-9 Process:

1. Verify the employee has completed Section 1 of the Form I-9 prior to completion of Section 2.

2. Once the acceptable and original documents are presented and seem to be genuine, please fill in the

requested information pertaining to the documents in Section 2.

3. Enter the employee’s Date of Hire (see Department Section below)

4. Complete the Authorized Representative Information in Section 2 by signing, dating, entering your title,

and printing your name.

5. Enter the Employer’s information:

a. Name: The Florida State University

b. Address: 600 W. College Avenue, Tallahassee, FL 32306

6. Complete the Remote Hire Notary Form.

7. FAX both forms immediately to a) the I-9 Administrator in HR at 850-645-9506 Attn: Andrew Kapec and b)

your department for their records.

8. MAIL the originals to: Human Resources, 6200 A University Center, Tallahassee, Florida, 32306-2410 Attn:

Andrew Kapec.

State of ____________________________

County of ____________________________

Subscribed and sworn (or affirmed) before me on the _____ day of _________________, 20____, by

______________________________, proved to me on the basis of satisfactory evidence to be the person who appeared

before me.

_______________________________________

Notary Public Signature

Department Information – This section to be completed by hiring department only.

DEPT Name:

Employee’s Name:

DEPT FAX #:

Employee’s Date of Hire:

DEPT Contact:

DEPT Contact Phone:

FSU I-9 Administrator: Andrew Kapec

FSU I-9 Administrator Phone: 850-645-2781

Revised 05/2013

Remote Hire Notary Form

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