Notary Form For Completing I9 - Athens State University printable pdf download

Notary Form for Completing I9

Dear Notary,

The person who appears before you today has applied for a position with Athens State University. Because the

nature of this position is through distance learning, this person is not able to complete an I9 form in person at

Athens State University. We are, therefore, requesting that this person present their two forms of identification to

you. Acceptable ID required to support work eligibility in the United States is listed on the I9 form. These

documents must be the original documents.

The new employee is required to complete Section 1, including the signature and date. Please photocopy the two

forms of identification that this person has presented to you then complete Section 2 of the attached form. Please

record:

1. Document Title

2. Issuing Authority

3. Document Number

4. Expiration Date (if any)

Please sign as the Authorized Representative in Section 2 and notarize with your stamp. Please leave Section 3

blank.

If you have any questions about completing this form, please contact Athens State University, Human Resources at

2562338224. Thank you.

Notary Form

Athens State University hereby appoints:

Name:________________________________________________________________________________

Address:______________________________________________________________________________

Telephone Number:_____________________________________________________________________

Fax Number:___________________________________________________________________________

Commission Information:__________________________________________________________

Commission Expiration Date:_______________________________________________________

As its Authorized Representative for the limited purpose of verifying the presentation of identity documentation

supporting work eligibility in the United States and for the purpose of completing Section 2 of INS Form I9 for this

Employee. By signing below, the Authorized Representative accepts the appointment for this limited purpose only.

Signature:______________________________________________

Notary Public, State of:____________________________________

Print Name:_____________________________________________

Dated this___________day of____________________

Appointment Authorized by Athens State University

By:_____________________________________________

Print Name:

Suzanne B. Sims

Title:

Office of Human Resources

Human Resources Department

08/08

Notary Form For Completing I9 - Athens State University