Instructions For Uscis Form I-9 - Employment Eligibility Verification (Page 11 of 18) in pdf

List C - Employment Authorization: If the employee presented an acceptable document from List C, or an acceptable

receipt for the application to replace a lost, stolen, or destroyed List C document, enter the document information in this

column. If you enter document information in the List C column, you must also enter document information in the List B

column. If an employee presents acceptable List B and List C documents, do not ask the employee to present a list A document.

No entries should be made in the List A column.

Document Title: If the employee presented a document from List C, enter the title of the List C document or receipt in

this field. The abbreviations provided are available in the dropdown when the form is completed on a computer. When

completing the form on paper, you may choose to use these abbreviations or any other common abbreviations to document

the document title or issuing authority. If you are completing the form on a computer, and you select an Employment

authorization document issued by DHS, the field will populate with List C #7 and provide a space for you to enter a

description of the documentation the employee presented. Refer to the M-274 for guidance on entering List C #7

documentation.

Full name of List C Document

Abbreviations

Social Security Account Number card without restrictions

(Unrestricted) Social Security Card

Certification of Birth Abroad (Form FS-545)

Form FS-545

Certification of Report of Birth (Form DS-1350)

Form DS-1350

Consular Report of Birth Abroad (Form FS-240)

Form FS-240

Original or certified copy of a U.S. birth certificate bearing an

Birth Certificate

official seal

Native American tribal document

U.S. Citizen ID Card (Form I-197)

Form I-197

Identification Card for use of Resident Citizen in the United

Form I-179

States (Form I-179)

Employment authorization document issued by DHS (List C #7)

Employment Auth. document (DHS) List C #7

Receipt for the application to replace a lost, stolen or damaged

Receipt: Replacement Unrestricted SS

Social Security Account Number Card without restrictions

Card

Receipt for the application to replace a lost, stolen or

damaged Original or certified copy of a U.S. birth certificate

Receipt: Replacement Birth Certificate

bearing an official seal

Receipt for the application to replace a lost, stolen or

Receipt: Replacement Native American Tribal

damaged Native American Tribal Document

Doc.

Receipt for the application to replace a lost, stolen or damaged

Receipt: Replacement Employment Auth. Doc.

Employment Authorization Document issued by DHS

(DHS)

Issuing Authority: Enter the issuing authority of the List C document or receipt. The issuing authority is the entity that

issued the document.

Document Number: Enter the document number, if any, of the List C document or receipt exactly as it appears on the

document. If the document does not contain a number, enter N/A in this field.

Expiration Date (if any) (mm/dd/yyyy): Enter the expiration date, if any, of the List C document. The document is not

acceptable if it has already expired, unless USCIS has extended the expiration date on the document. For instance, if a

conditional resident presents a Form I-797 extending his or her conditional resident status with the employee's expired Form

I-551, enter the future expiration date as indicated on the Form I-797. If the document has no expiration date, enter N/A in

this field. For a receipt, enter the expiration date of the receipt validity period as described in the Receipt section above.

Additional Information: Use this space to notate any additional information required for Form I-9 such as:

• Employment authorization extensions for Temporary Protected Status beneficiaries, F-1 OPT STEM students, CAP-

GAP, H-1B and H-2A employees continuing employment with the same employer or changing employers, and other

nonimmigrant categories that may receive extensions of stay

• Additional document(s) that certain nonimmigrant employees may present

• Discrepancies that E-Verify employers must notate when participating in the IMAGE program

• Employee termination dates and form retention dates

• E-Verify case number, which may also be entered in the margin or attached as a separate sheet per E-Verify

requirements and your chosen business process.

• Any other comments or notations necessary for the employer's business process

You may leave this field blank if the employee's circumstances do not require additional notations.

Form I-9 Instructions 07/17/17 N

Page 11 of 15

Instructions For Uscis Form I-9 - Employment Eligibility Verification Page 11

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