County Of Currituck E-Verify Affidavit Form
Download a blank fillable County Of Currituck E-Verify Affidavit Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete County Of Currituck E-Verify Affidavit Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1County of Currituck E-Verify Affidavit
STATE OF NORTH CAROLINA
AFFIDAVIT:
COUNTY OF CURRITUCK
E-VERIFY COMPLIANCE
**************************
I, ____________________________(the individual attesting below), being duly authorized by and on
behalf of ________________________________ (the entity bidding on project hereinafter "Employer")
after first being duly sworn hereby swears or affirms as follows:
1. Employer understands that E-Verify is the federal E-Verify program operated by the United States
Department of Homeland Security and other federal agencies, or any successor or equivalent program
used to verify the work authorization of newly hired employees pursuant to federal law in accordance
with NCGS §64-25(5).
2. Employer understands that Employers Must Use E-Verify. Each employer, after hiring an employee to
work in the United States, shall verify the work authorization of the employee through E-Verify in
accordance with NCGS§64-26(a).
3. Employer is a person, business entity, or other organization that transacts business in this State and
that employs 25 or more employees in this State. (mark Yes or No)
a. YES _____, or
b. NO _____
4. Employer's subcontractors comply with E-Verify, and if Employer is the winning bidder on this project,
Employer will ensure compliance by providing the County with an E-Verify Compliance Affidavit for any
subcontractors current or subsequently hired by Employer.
This ____ day of _______________, 20
.
Signature of Affiant:
Print or Type Name: _________________________
Contractor: ______________________________ State of
_____________
County of ____________
Signed and sworn to (or affirmed) before me, this the _____ day of
________________, 20__.
_________________________________
Notary Public
My Commission Expires:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal