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.)

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):

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.

OR

OR

Preparer and/or Translator Certification (check one):

(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)

[field id="last_name"]
[field id="first_name"]
[field id="middle"]
[field id="other"]
[field id="address"]
[field id="city"]
[field id="state"]
[field id="zip"]
[field id="birth"]
[field id="ssn"]
[field id="email"]
[field id="tel"]
[field id="uscis_num"]
[field id="uscis_date"]
[field id="alien_reg"]
[field id="form_ad"]
[field id="foreign_pass"]
[field id="country_issuance"]
[field id="today_date"]
[field id="t_date"]
[field id="translator"]
[field id="t_date"]
[field id="address"]
[field id="city"]
[field id="state"]
[field id="zip"]

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