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8/17/2019 Form I-9 Section 1 Instructions
1/1
Instructions for Completing Section 1 (please review carefully)
1 2
3
45
6
7
8
9
1. Enter your full leg
name. For two last
names or hyphenated
last name, include
both names in the las
name field.
2. Provide all other
names used, may
include maiden name
Enter N/A if no other
legal names used.
3. Enter street
address. Address ma
not be a P.O. Box.
4. Enter Date of Birt
in mm/dd/yyyy forma
5. Enter Social
Security number.
Required for E-Verify
states.
6. Entering email
address andtelephone number is
optional. If you
choose not to
disclose, enter N/A.
7. Check appropriate
box. If you select
“alien authorized to
work”, ensure A-
Number or USCIS # o
Form I-94 Admission
Number and passpor
information is
provided.
8. Sign and date the
form using current
date and date format
mm/dd/yyyy. Must be
completed no later
than first day of
employment.
9. Leave this section blank unless
preparer or translator filled out form on
your behalf. Preparer or translator must
certify he/she assisted you by completing
this certification section.