Employment Eligibility Verification Form I 9

Information you will need

• EMPLOYEE ONLY: What’s your last name?
• What’s your first name?
• What’s your middle initial? (if applicable)
• What are your other last names? (if applicable)
• What’s your street address?
• What’s your apartment number? (if applicable)
• In what city do you live?
• In what state do you live?
• What’s your ZIP code?
• What’s your date of birth?
• What’s your SSN?
• What’s your email address?
• What’s your phone number?
• What’s your citizenship/immigration status?
• What’s your USCIS / A Number? (if applicable)
• What’s your employment expiration date? (if applicable)
• What’s your USCIS/A Number (if applicable)
• What’s your Form I 94 Admission Number? (if applicable)
• What’s your foreign passport number? (if applicable)
• EMPLOYER ONLY: What’s the first List A document?
• Who issued the first List A document?
• What’s the number of the first List A document? (if applicable)
• What’s the first List A document’s expiration date? (if applicable)
• Who issued the second List A document?

…and 64 more fields in the PDF.

Completed by the employee and the employer.