Fillable Form I-766 - Employment Authorization Form printable pdf download

Form I-766 - Employment Authorization Form

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Employment Authorization Form

Employee Details

Full Name: ___________________________________ Date of Birth: _________________

Social Security Number: _________________________ Job position _____________________

Phone: _____________________ Email: _________________________________

Address: __________________________________________________________________

Town: __________________

Zip: ______________________________ State: ____________________________

Authorizer details

Full Name: ___________________________________ Title: _______________________

Company: _____________________________ Designation ________________________

Phone: ______________________ Email: _______________________________

Address: ___________________________________________

Town: ____________________ Zip: ____________________ State: ____________________

I hereby authorize _____________________________ to employ the above named person on

powers bestowed to me by the state of ______________________ as a district parole officer.

Signature ___________________________ Date ___________________________

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Form I-766 - Employment Authorization Form

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