Instructions For Form I-9 - Employment Eligibility Verification - Department Of Homeland Security Page 10

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Document Number: Enter the document number, if any, of the List A document or receipt presented. If the document
does not contain a number, enter N/A in this field. If the employee presented a combination of documents, use the second
and third Document Number fields as necessary. If the document presented was a Form I-20 or DS-2019, enter the
Student and Exchange Visitor Information System (SEVIS) number in the third Document Number field exactly as it
appears on the Form I-20 or the DS-2019.
Expiration Date (if any) (mm/dd/yyyy): Enter the expiration date, if any, of the List A document. The document is not
acceptable if it has already expired. If the document does not contain an expiration date, enter N/A in this field. If the
document uses text rather than a date to indicate when it expires, enter the text as shown on the document, such as “D/
S”(which means, “duration of status”). For a receipt, enter the expiration date of the receipt validity period as described
above. If the employee presented a combination of documents, use the second and third Expiration Date fields as
necessary. If the document presented was a Form I-20 or DS-2019, enter the program end date here.
List B - Identity: If the employee presented an acceptable document from List B or an acceptable receipt for the application to
replace a lost, stolen, or destroyed List B document, enter the document information in this column. If a parent or legal guardian
attested to the identity of an employee who is an
individual under age 18
or certain
employees with disabilities
in Section 1,
enter either "Individual under age 18" or "Special Placement" in this field. Refer to the
Handbook for Employers: Guidance for
Completing Form I-9 (M-274)
for more guidance on individuals under age 18 and certain person with disabilities.
If you enter document information in the List B column, you must also enter document information in the List C column. If an
employee presents acceptable List B and List C documents, do not ask the employees to present a List A document. No entries
should be made in the List A column. If you complete Section 2 using a computer, a selection in List B will fill all the fields in
the List A column with N/A.
Document Title: If the employee presented a document from List B, enter the title of the List B 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.
Full name of List B Document
Abbreviations
Driver's license issued by a State or outlying possession of
Driver's license issued by state/territory
the United States
ID card issued by a State or outlying possession of the
ID card issued by state/territory
United States
ID card issued by federal, state, or local government
Government ID
agencies or entities
School ID card with photograph
School ID
Voter's registration card
Voter registration card
U.S. Military card
U.S. Military card
U.S. Military draft record
U.S. Military draft record
Military dependent's ID card
Military dependent's ID card
U.S. Coast Guard Merchant Mariner Card
USCG Merchant Mariner card
Native American tribal document
Native American tribal document
Driver's license issued by a Canadian government authority
Canadian driver's license
School record (for persons under age 18 who are unable to
School record (under age 18)
present a document listed above)
Report card (for persons under age 18 who are unable to
Report card (under age 18)
present a document listed above)
Clinic record (for persons under age 18 who are unable to
Clinic record (under age 18)
present a document listed above)
Doctor record (for persons under age 18 who are unable to
Doctor record (under age 18)
present a document listed above)
Hospital record (for persons under age 18 who are unable to
Hospital record (under age 18)
present a document listed above)
Day-care record (for persons under age 18 who are unable to
Day-care record (under age 18)
present a document listed above)
Nursery school record (for persons under age 18 who are
Nursery school record (under age 18)
unable to present a document listed above)
Form I-9 Instructions 07/17/17 N
Page 9 of 15

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