Form I9 Designated Agent Packet Page 3
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4REMOTE HIRE Form I-9 Checklist
Section 1 - Employee Information and Verification:
Completed by the employee, after a job has been offered &
accepted, on or before the close of business on the first day of work for pay. A remote hire will have completed Section 1 online
prior to presenting him/herself at a designated agent. Review the following:
1. Name: Employee has input his/her name in the correct fields. Middle and Maiden Names are not required.
2. Birth Date: Employee has input his/her correct date of birth.
3. Social Security Number: Required only for employees being E-Verified. For all other employees, this is an optional field.
4. Address: Employee has input his/her physical address (must not be a P.O. Box) in the correct fields.
5. Employment Status: One option must be selected by the employee; must be consistent with Section 2 documents presented.
Noncitizen National of the United States: Only selected for a person born in American Samoa, certain former citizens of the
a.
former Trust Territory of the Pacific Islands, and certain children of noncitizen nationals born abroad.
b. Alien #: If employee selected “Lawful Permanent Resident,” he/she has input his/her A#
c.
Authorized to work until: Date must be provided by an employee who selects “Alien Authorized to Work” (found on I-20,
DS-2019, or I-94 for H1 visa holders)
d. Admission #: Must be provided by an employee who selects “Alien Authorized to Work” (Admission/Departure # on I-94)
6. Employee Signature: Employee signed Section 1, appears as “(Accepted Electronically)”
7. Date of Employee Signature: Automatically captured when employee signed.
8. Preparer/Translator: If applicable, completed by any person who assisted the employee by translating or completing Section 1.
Note: If the employee wishes to correct any Section 1 entry, then the employee only may do so by drawing a single line through the incorrect entry, writing the correct information, and
initialing and dating the correction.
Section 2 - Employer Review and Verification:
Review the employee’s original, unexpired documents and complete and
sign Section 2 by close of business on the employee’s third day of work for pay, or by close of business on the first day of work for
pay, if employment is for less than 3 days.
Verification of Documentation: Designated Agent must review original, unexpired documents: one from List A OR a
combination of one List B document and one List C document. The employee must be allowed to choose which documents to
present and must not be required to provide more or different documents if he/she presents a valid List A OR valid List B and C
documents. If an employee who is being E-Verified presents a List B document, it must contain a photograph.
List A
OR
List B
AND
List C
Must be listed on the Form I-9 or in the
Must be listed on the Form I-9 or in the
Must be listed on the Form I-9 or in the
Handbook for Employers as acceptable
Handbook for Employers as acceptable
Handbook for Employers as acceptable
Document title, issuing authority, and
Document title, issuing authority, and
Document title, issuing authority, and
document number(s) must be listed in
document number must be listed in
document number must be listed in
the appropriate fields
the appropriate fields
the appropriate fields
Expiration date(s), if applicable, must
Expiration date, if applicable, must be
Expiration date, if applicable, must be
be listed in the appropriate field
listed in the appropriate field
listed in the appropriate field
Document must be unexpired when
Document must be unexpired when
Document must be unexpired when
presented
presented
presented
Document must appear on its face to
Document must appear on its face to
Document must appear on its face to
be genuine and must reasonably
be genuine and must reasonably
be genuine and must reasonably
appear to relate to the employee
appear to relate to the employee
appear to relate to the employee
If the employee is to be E-Verified, the
List B document must contain a photo.
Date of Hire is pre-populated.
Signature of Employer or Authorized Representative: Designated Agent must sign the form after review and verify Section 2.
Date of Employer Signature: Designated Agent must date Section 2 when he or she signs it.
Employer or Representative Name: Designated Agent must print his or her name in the field provided.
Title: Designated Agent must print his or her title in the field provided.
Business/Organization Name: University of Illinois is pre-populated.
Address is pre-populated.
DO NOT complete Section 3 of the Form I-9.
Page 3
Rev 9/2011
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