Instructions For Uscis Form I-9 - Employment Eligibility Verification (Page 12 of 18) in pdf

Entering Information in the Employer Certification

Employee's First Day of Employment: Enter the employee's first day of employment as a 2-digit month, 2-digit day and

4-digit year (mm/dd/yyyy).

Signature of Employer or Authorized Representative: Review the form for accuracy and completeness. The person who

physically examines the employee's original document(s) and completes Section 2 must sign his or her name in this field. If you

used a form obtained from the USCIS website, you must print the form to sign your name in this field. By signing Section 2,

you attest under penalty of perjury (28 U.S.C. § 1746) that you have physically examined the documents presented by the

employee, the document(s) reasonably appear to be genuine and to relate to the employee named, that to the best of your

knowledge the employee is authorized to work in the United States, that the information you entered in Section 2 is complete,

true and correct to the best of your knowledge, and that you are aware that you may face severe penalties provided by law and

may be subject to criminal prosecution for knowingly and willfully making false statements or knowingly accepting false

documentation when completing this form.

Today's Date: The person who signs Section 2 must enter the date he or she signed Section 2 in this field. Do not backdate this

field. If you used a form obtained from the USCIS website, you must print the form to write the date in this field. Enter the date

as a 2-digit month, 2-digit day and 4-digit year (mm/dd/yyyy). For example, enter January 8, 2014 as 01/08/2014.

Title of Employer or Authorized Representative: Enter the title, position or role of the person who physically examines the

employee's original document(s), completes and signs Section 2.

Last Name of the Employer or Authorized Representative: Enter the full legal last name of the person who physically

examines the employee’s original documents, completes and signs Section 2. Last name refers to family name or surname. If

the person has two last names or a hyphenated last name, include both names in this field.

First Name of the Employer or Authorized Representative: Enter the full legal first name of the person who physically

examines the employee’s original documents, completes, and signs Section 2. First name refers to the given name.

Employer’s Business or Organization Name: Enter the name of the employer’s business or organization in this field.

Employer’s Business or Organization Address (Street Name and Number): Enter an actual, physical address of the

employer. If your company has multiple locations, use the most appropriate address that identifies the location of the employer.

Do not provide a P.O. Box address.

City or Town: Enter the city or town for the employer’s business or organization address. If the location is not a city or town,

you may enter the name of the village, county, township, reservation, etc. that applies.

State: Enter the two-character abbreviation of the state for the employer’s business or organization address.

ZIP Code: Enter the 5-digit ZIP code for the employer’s business or organization address.

Completing Section 3: Reverification and Rehires

Section 3 applies to both reverification and rehires. When completing this section, you must also complete the Last Name, First

Name and Middle Initial fields in the Employee Info from Section 1 area at the top of Section 2, leaving the Citizenship/

Immigration Status field blank. When completing Section 3 in either a reverification or rehire situation, if the employee’s name

has changed, record the new name in Block A.

Reverification

Reverification in Section 3 must be completed prior to the earlier of:

• The expiration date, if any, of the employment authorization stated in Section 1, or

• The expiration date, if any, of the List A or List C employment authorization document recorded in Section 2

(with some exceptions listed below).

Some employees may have entered “N/A” in the expiration date field in Section 1 if they are aliens whose employment

authorization does not expire, e.g. asylees, refugees, certain citizens of the Federated States of Micronesia, the Republic of the

Marshall Islands, or Palau. Reverification does not apply for such employees unless they choose to present evidence of

employment authorization in Section 2 that contains an expiration date and requires reverification, such as Form I-766,

Employment Authorization Document.

You should not reverify U.S. citizens and noncitizen nationals, or lawful permanent residents (including conditional residents)

who presented a Permanent Resident Card (Form I-551). Reverification does not apply to List B documents.

Form I-9 Instructions 07/17/17 N

Page 12 of 15

Instructions For Uscis Form I-9 - Employment Eligibility Verification Page 12

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