Electronic I‑9 Form Form I‑9 — Employment Eligibility Verification Section 1: Employee Information Last Name First Name Middle Initial Other Last Names Used Address Apt # City State ZIP Code Date of Birth Social Security Number Email Phone Citizenship / Immigration Status Select your status 1. A citizen of the United States 2. A noncitizen national of the United States 3. A lawful permanent resident (USCIS/A‑Number) 4. An alien authorized to work Alien Number I‑94 Number Foreign Passport Number Country of Issuance Employee Signature Clear Signature Date Document Upload (Optional) Document 1 Document 2 Document 3 Section 2: Employer Review Employee Name (Last, First) Document Title Issuing Authority Document Number Expiration Date Employer Information Business Name Business Address City State ZIP Code Employer Signature Clear Signature Employer Name Date Submit I‑9 Your I‑9 has been submitted successfully.
