Form I-9


FORM I-9
 
Please Note: This is an online version of the Department of Homeland Security Form I-9. By signing this online version, you agree to use this form just as you would the PDF version. If you prefer, you may sign the PDF version of Form I-9 and fax it to (281) 584-9680 or email it to AAA Apartment Staffing.




START HERE: Employers must ensure the form instructions are available to employees when completing this form. Employers are liable for failing to comply with the requirements for completing this form. See below and the Instructions.


ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation to present for Form I-9. Employers cannot ask employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or Supplement B, Reverification and Rehire. Treating employees differently based on their citizenship, immigration status, or national origin may be illegal.

Section 1. Employee Information and Attestation Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.
Last Name (Family Name)
First Name (Given Name)
Middle Initial (if any)
Other Last Names Used (if any)
Address (Street Number and Name)
Apt. Number (if any)
City or Town
State
Zip Code
Date of Birth (mm/dd/yyyy)
Last 4 of U.S. Social Security Number (XXXX)
Employee's E-mail Address
Employee's Telephone Number

I am aware that federal law provides for imprisonment and/or fines for false statements, or the use of false documents, in connection with the completion of this form. I attest, under penalty of perjury, that this information, including my selection of the box attesting to my citizenship or immigration status, is true and correct.

Check one of the following boxes to attest to your citizenship or immigration status (See page 2 and 3 of the instructions.):

1. A citizen of the United States
2. A noncitizen national of the United States (See instructions)
3. A lawful permanent resident (Enter USCIS or A-Number.):
4. A noncitizen (other than Item Numbers 2. and 3. above) authorized to work until (exp. date, if any):
If you check Item Number 4., enter one of these:
USCIS A-Number: OR Form I-94 Admission Number: OR Foreign Passport Number and Country of Issuance:
 
If a preparer and/or translator assisted you in completing Section 1, that person MUST complete the Preparer and/or Translator Certification on Page 3. Please sign the PDF version of Form I-9 and fax it to (281) 584-9680 or email it to AAA Apartment Staffing.
 

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Form I-9
lock iconUnique Document ID: a5cded54a1416daec3ca1f5293d62cd078087626
Timestamp Audit
April 11, 2018 9:51 am CDTForm I-9 Uploaded by Anne O'Connell - adresponses@aaastaffing.net IP 97.70.177.244