Employment Form (USA I-9)

  PLEASE READ INSTRUCTIONS CAREFULLY BEFORE FILLING OUT THIS FORM

The instructions must be available during completion of this form. ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work eligible individuals. Employers CANNOT specify which document(s) they will accept from an employee. The refusal to hire an individual because of a future expiration date may also constitute illegal discrimination.
 
  Section 1. Employee Information and Verification.

To be completed and signed by employee at the time employment begins.

First & Last Name:
Social Security Number:
Date of Birth:
Address:
City:
State:
Zip Code: