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 email it to AAA Apartment Staffing.

 

 

START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form.

 

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.

 

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

Other Last Names Used (if any)

Address (Street Number and Name)

Apt. Number

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 use of false documents in connection with the completion of this form.

 

I attest, under penalty of perjury, that I am (check one of the following boxes):

 

1. A citizen of the United States
2. A noncitizen national of the United States (See instructions)
3. A lawful permanent resident (Alien Registration Number/USCIS Number):
4. An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy):
Some aliens may write “N/A” in the expiration date field. (See instructions)

 

Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:
An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.

1. Alien Registration Number/USCIS Number:
OR
2. Form I-94 Admission Number:
OR
3. Foreign Passport Number:
Country of Issuance:

 

QR Code – Section 1
Do Not Write In This Space

 

 

 

Preparer and/or Translator Certification (check one):
I did not use a preparer or translator.
A preparer(s) and/or translator(s) assisted the employee in completing Section 1.

 

If you are using the assistance of a preparer and/or translator, please sign the PDF version of Form I-9 and email it to AAA Apartment Staffing.

 

September 26, 2018
Signature of Employee:

Leave this empty:

Signature Certificate
Document name: Form I-9
Unique Document ID: 46fe14fe48bf14f65df9f35287ecc06a82b22700
Timestamp Audit
April 11, 2018 9:51 am CDTForm I-9 Uploaded by Anne O'Connell - adresponses@aaastaffing.com IP 76.192.57.195