I-9 Frm Toc

I9-012-FRM-TOC-Flexibilities-OMBReview-FinalRule-08012023.docx

Employment Eligibility Verification

I-9 FRM TOC

OMB: 1615-0047

Document [docx]
Download: docx | pdf


TABLE OF CHANGES – FORM

Form I-9, Employment Eligibility Verification

OMB Number: 1615-0047

08/01/2023


Reason for Revision: ICE Flexibilities Final Rule

Project Phase: OMBReview


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 08/31/2026

Edition Date 08/01/2023



Current Page Number and Section

Current Text

Proposed Text

Page 2, Section 2. Employer Review and Verification

[Page 2]


Section 2. Employer Review and Verification: Employers or their authorized representative must complete and sign Section 2 within three business days after the employee’s first day of employment, and must physically examine documentation from List A OR a combination of documentation from List B and List C. Enter any additional documentation in the Additional Information box; see Instructions.




List A OR

List B AND List C


Document Title 1

Issuing Authority

Document Number (if any)

Expiration Date (if any)


Document Title 2 (if any)

Issuing Authority

Document Number (if any)

Expiration Date (if any)


Document Title 3 (if any)

Issuing Authority

Document Number (if any)

Expiration Date (if any)


Additional Information






Certification: I attest, under penalty of perjury, that (1) I have examined the documentation presented by the above-named employee, (2) the above-listed documentation appears to be genuine and to relate to the employee named, and (3) to the best of my knowledge, the employee is authorized to work in the United States.


First Day of Employment (mm/dd/yyyy):


Last Name, First Name and Title of Employer or Authorized Representative

Signature of Employer or Authorized Representative

Today’s Date (mm/dd/yyyy)

Employer’s Business or Organization Name

Employer’s Business or Organization Address, City or Town, State, ZIP Code


For reverification or rehire, complete Supplement B, Reverification and Rehire on Page 4.




Section 2. Employer Review and Verification: Employers or their authorized representative must complete and sign Section 2 within three business days after the employee’s first day of employment, and must physically examine, or examine consistent with an alternative procedure authorized by the Secretary of DHS, documentation from List A OR a combination of documentation from List B and List C. Enter any additional documentation in the Additional Information box; see Instructions.


[no change]




















[ ] Check here if you used an alternative procedure authorized by DHS to examine documents.


[no change]

Page 4, Supplement B

[Page 4]


Supplement B, Reverification and Rehire (formerly Section 3)


Last Name (Family Name) from Section 1.

First Name (Given Name) from Section 1.

Middle initial (if any) from Section 1.



I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it.


Signature of Employer or Authorized Representative

Today's Date (mm/dd/yyyy)

Name of Employer or Authorized Representative

Additional Information (Initial and date each notation.)


[new]





I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it.


Signature of Employer or Authorized Representative

Today's Date (mm/dd/yyyy)

Name of Employer or Authorized Representative

Additional Information (Initial and date each notation.)


[new]





I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it.


Signature of Employer or Authorized Representative

Today's Date (mm/dd/yyyy)

Name of Employer or Authorized Representative

Additional Information (Initial and date each notation.)


[new]






[no change]








[no change]
















[ ] Check here if you used an alternative procedure authorized by DHS to examine documents.



[no change]
















[ ] Check here if you used an alternative procedure authorized by DHS to examine documents.



[no change]
















[ ] Check here if you used an alternative procedure authorized by DHS to examine documents.







1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorValentine, Brian R
File Modified0000-00-00
File Created2023-07-31

© 2024 OMB.report | Privacy Policy