Form I-9 Remote Access

Progression

Complete Section 1
Form I-9 Next Steps

Employment Eligibility Verification

USCIS Form I-9
Employment Eligibility Verification

Department of Homeland Security
U.S. Citizenship and Immigration Services

Form I-9 Section 1: Employee Information and Attestation

I-9 Instructions: English | Español

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.

Anti-Discrimination Notice It is illegal to discriminate against
work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity.The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.
For more information, call the Immigrant and Employee Rights Section (IER) at in the Department of Justice's Civil Rights Division at 1-800-255-7688 (employees), 1-800-255-8155 (employers), or 1-800-237-2515 (TTY), or visit https://www.justice.gov/crt/immigrant-and-employee-rights-section.

Anti-Discrimination Notice

It is illegal to discriminate against
work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity.The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.

For more information, call the Immigrant and Employee Rights Section (IER) at in the Department of Justice's Civil Rights Division at 1-800-255-7688 (employees), 1-800-255-8155 (employers), or 1-800-237-2515 (TTY), or visit https://www.justice.gov/crt/immigrant-and-employee-rights-section.

Employee Name and Identification

First Name (Given Name):* Enter your full legal first name.Your first name is your given name.
Some examples of correctly entered first names include Jessica, John-Paul, Tae Young, D’Shaun, Mai.
If you only have one name, enter it in the Last Name field, then enter “Unknown” in this field. You may not enter “Unknown” in both this field and the Last Name field.

First Name (Given Name) Enter your full legal first name.Your first name is your given name. Some examples of correctly entered first names include Jessica, John-Paul, Tae Young, D’Shaun, Mai. If you only have one name, enter it in the Last Name field, then enter “Unknown” in this field. You may not enter “Unknown” in both this field and the Last Name field.
Middle Initial:* Your middle initial your second given name, or your middle name, if any. If you do not have a middle intial, enter N/A in this field.

Middle Initial Your middle initial your second given name, or your middle name, if any. If you do not have a middle intial, enter N/A in this field.
Last Name (Family Name):* Enter your full legal last name. Your last name is your family name or surname. If you have two last names or a hyphen-ated last name, include both names in this field.

Examples of correctly entered last names include De La Cruz, O’Neill, Garcia Lopez, Smith-Johnson, Nguyen.

If you only have one name, enter it in this field, then enter “Unknown” in the First Name field. You may not enter “Unknown” in both this field and the First Name field.

Last Name (Family Name) Enter your full legal last name. Your last name is your family name or surname. If you have two last names or a hyphen-ated last name, include both names in this field. Examples of correctly entered last names include De La Cruz, O’Neill, Garcia Lopez, Smith-Johnson, Nguyen. If you only have one name, enter it in this field, then enter “Unknown” in the First Name field. You may not enter “Unknown” in both this field and the First Name field.
Other Last Names Used:* Provide all other last names used, if any, such as maiden name. Enter N/A if you have not used other last names.

For example, if you legally changed your last name from Smith to Jones, you should enter the name Smith in this field.

Other Last Names Used Provide all other last names used, if any, such as maiden name. Enter N/A if you have not used other last names. For example, if you legally changed your last name from Smith to Jones, you should enter the name Smith in this field.

U.S. Social Security Number: * Providing your Social Security number is voluntary on Form I-9 unless your employer participates in E-Verify.
If your employer participates in E-Verify and:

1. You have been issued a Social Security number, you must provide it in this field; or

2. You have applied for, but have not yet received a Social Security number, leave this field blank until you receive a Social Security number.

U.S. Social Security Number Providing your Social Security number is voluntary on Form I-9 unless your employer participates in E-Verify. If your employer participates in E-Verify and:
1. You have been issued a Social Security number, you must provide it in this field; or
2. You have applied for, but have not yet received a Social Security number, leave this field blank until you receive a Social Security number.

(###-##-####)
Date of Birth:* Enter your date of birth as a 2-digit month, 2-digit day, and 4-digit year (mm/dd/yyyy). For example, enter January 8, 1980 as 01/08/1980.

Date of Birth Enter your date of birth as a 2-digit month, 2-digit day, and 4-digit year (mm/dd/yyyy). For example, enter January 8, 1980 as 01/08/1980.

(mm/dd/yyyy)

Employee Address and Contact Information

Address(Street Number and Name):* Enter the street name and number of the current address of your residence. If you are a border commuter from Canada or Mexico, you may enter your Canada or Mexico address in this field.

If your residence does not have a physical address, enter a description of the location of your residence, such as “3 miles southwest of Anytown post office near water tower.”

Address(Street Number and Name) Enter the street name and number of the current address of your residence. If you are a border commuter from Canada or Mexico, you may enter your Canada or Mexico address in this field. If your residence does not have a physical address, enter a description of the location of your residence, such as “3 miles southwest of Anytown post office near water tower.”
Apt. Number:* Enter the number(s) or letter(s) that identify(ies) your apartment. If you do not live in an apartment, enter N/A.

Apt. Number Enter the number(s) or letter(s) that identify(ies) your apartment. If you do not live in an apartment, enter N/A.

City or Town:* Enter your city, town or village in this field.

If your residence is not located in a city, town or village, enter your country, township, reservation, etc., in this field. If you are a border commuter from Canada, enter your city and province in this field. If you are a border commuter from Mexico, enter your city and state in this field.

City or Town Enter your city, town or village in this field. If your residence is not located in a city, town or village, enter your country, township, reservation, etc., in this field. If you are a border commuter from Canada, enter your city and province in this field. If you are a border commuter from Mexico, enter your city and state in this field.
State:* Select the abbreviation of your state or territory from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory.

If you are a border commuter from Canada or Mexico, you should choose your country abbreviation, located at the end of the drop-down list.

State Select the abbreviation of your state or territory from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory. If you are a border commuter from Canada or Mexico, you should choose your country abbreviation, located at the end of the drop-down list.
Zip Code:* Enter your 5-digit ZIP code in this field.

If you are a border commuter from Canada or Mexico, enter your 5- or 6-digit postal code in this field.

Zip Code Enter your 5-digit ZIP code in this field. If you are a border commuter from Canada or Mexico, enter your 5- or 6-digit postal code in this field.

Employee's Telephone Number:* Providing your telephone number is optional for Form I-9. Enter only the numbers of your 9- or 10-digit telephone number. Enter N/A if you do not enter your telephone number.

Employee's Telephone Number Providing your telephone number is optional for Form I-9. Enter only the numbers of your 9- or 10-digit telephone number. Enter N/A if you do not enter your telephone number.

(###-###-####)
Not Applicable (N/A)
Employee's Email Address:* Providing your e-mail address is optional on Form I-9. To enter your e-mail address, use this format: name@site.domain. One reason the Department of Homeland Security (DHS) may e-mail you is if your employer uses E-Verify and DHS learns of a potential mismatch between the information provided and the information in government records. This e-mail would contain information on how to begin to resolve the potential mismatch. Enter N/A if you do not enter your e-mail address. You may use either your personal or work e-mail address in this field.

Employee's Email Address Providing your e-mail address is optional on Form I-9. To enter your e-mail address, use this format: name@site.domain. One reason the Department of Homeland Security (DHS) may e-mail you is if your employer uses E-Verify and DHS learns of a potential mismatch between the information provided and the information in government records. This e-mail would contain information on how to begin to resolve the potential mismatch. Enter N/A if you do not enter your e-mail address. You may use either your personal or work e-mail address in this field.

Employee Employment Status

Important Note

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 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):*

1. A citizen of the United States Select this status if it applies to you. If you select this option, the rest of the fields in this area will contain N/A.

A citizen of the United States Select this status if it applies to you. If you select this option, the rest of the fields in this area will contain N/A.
2. A noncitizen national of the United States (see instructions) Select this status if it applies to you. If you select this option, the rest of the fields in this area will contain N/A.

A noncitizen national of the United States is an individual born in American Samoa, certain former citizens of the former Trust Territory of the Pacific Islands, and certain children of noncitizen nationals born abroad.

A noncitizen national of the United States Select this status if it applies to you. If you select this option, the rest of the fields in this area will contain N/A. A noncitizen national of the United States is an individual born in American Samoa, certain former citizens of the former Trust Territory of the Pacific Islands, and certain children of noncitizen nationals born abroad.
3. A lawful permanent resident Select this status if it applies to you. If you select this option, the fields associated with the alien authorized to work status will contain N/A.

A lawful permanent resident is an individual who is not a U.S. citizen and who resides in the United States under legally recognized and lawfully recorded permanent residence as an immigrant. This term includes conditional residents.

If you select this option, you must enter either your Alien Registration Number or USCIS Number in the field provided. At this time, the USCIS Number is the same as the A-number without the “A” prefix.

Asylees and refugees should not select this status, but should instead select “An alien authorized to work.”

A lawful permanent resident Select this status if it applies to you. If you select this option, the fields associated with the alien authorized to work status will contain N/A. A lawful permanent resident is an individual who is not a U.S. citizen and who resides in the United States under legally recognized and lawfully recorded permanent residence as an immigrant. This term includes conditional residents. If you select this option, you must enter either your Alien Registration Number or USCIS Number in the field provided. At this time, the USCIS Number is the same as the A-number without the “A” prefix. Asylees and refugees should not select this status, but should instead select “An alien authorized to work.”

If you are a lawful permanent resident, please provide your Alien Registration Number/USCIS Number. *

Alien Registration Number/USCIS Number Lawful permanent residents must enter their 7- to 9-digit Alien Registration Number or USCIS Number here. For numbers with fewer than nine digits, add leading zero(s). For example, a number of "1234567" should be entered as "001234567". At this time, the USCIS Number is the same as the A-number without the “A” prefix. To do so, enter the number in the space provided, then select either Alien Registration Number or USCIS Number from the drop-down. If you select Alien Registration Number from the drop-down, an “A” will appear before the number you entered.

Alien Registration Number/USCIS Number: * Lawful permanent residents must enter their 7- to 9-digit Alien Registration Number or USCIS Number here. For numbers with fewer than nine digits, add leading zero(s). For example, a number of "1234567" should be entered as "001234567".

At this time, the USCIS Number is the same as the A-number without the “A” prefix. To do so, enter the number in the space provided, then select either Alien Registration Number or USCIS Number from the drop-down. If you select Alien Registration Number from the drop-down, an “A” will appear before the number you entered.

A

(###-###-###)
4. An alien authorized to work Select this status if it applies to you. If you select this option, the fields associated with the lawful permanent resident status will contain N/A.

An alien authorized to work is an individual who is not a citizen or national of the United States, or a lawful permanent resident, but is authorized to work in the United States.

If you select this option, you must enter the expiration date of your employment authorization, if any, and either the Alien Registration Number/USCIS Number or the Form I-94 Admission Number in the fields below.

An alien authorized to work Select this status if it applies to you. If you select this option, the fields associated with the lawful permanent resident status will contain N/A. An alien authorized to work is an individual who is not a citizen or national of the United States, or a lawful permanent resident, but is authorized to work in the United States. If you select this option, you must enter the expiration date of your employment authorization, if any, and either the Alien Registration Number/USCIS Number or the Form I-94 Admission Number in the fields below.

If you are an alien authorized to work, please provide the following additional information.

1

Date authorized to work until * If you select this option, enter the date that your employment authorization expires, if any, in this field.

In most cases, your employment authorization expiration date is on the document(s) evidencing your employment authorization. In some cases, your employment authorization document may have been automatically extended; in these cases, you should enter the expiration date of the automatic extension in this field.

Refugees, asylees and certain citizens of the Federated States of Micronesia, the Republic of the Marshall Islands, or Palau, and other foreign nationals whose employment authorization does not expires should select the N/A checkbox. Some aliens may check the N/A Checkbox. Hover over the for instructions.

N/A (Not Applicable)

Some aliens may check the N/A Checkbox If you select this option, enter the date that your employment authorization expires, if any, in this field.

In most cases, your employment authorization expiration date is on the document(s) evidencing your employment authorization. In some cases, your employment authorization document may have been automatically extended; in these cases, you should enter the expiration date of the automatic extension in this field.

Refugees, asylees and certain citizens of the Federated States of Micronesia, the Republic of the Marshall Islands, or Palau, and other foreign nationals whose employment authorization does not expires should select the N/A checkbox.

2

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. *

Alien Registration Number/USCIS Number: Enter your 7- to 9-digit Alien Registration Number (A-Number)/USCIS Number, if any, in this field. To do so, enter the number in the space provided, then select either Alien Registration Number or USCIS Number from the drop-down. If you select Alien Registration Number from the drop-down, an “A” will appear before the number you entered. Currently, the USCIS number is the same as the Alien number without the “A” prefix. If you do not provide an Alien Registration Number/USCIS Number, enter either a Form I-94 Admission Number or Foreign Passport Number in the fields provided. This field will then be populated with N/A.

Aliens authorized to work must enter one of the following to complete Section 1:
1. Alien Registration Number (A-Number)/USCIS Number or
2. Form I-94 Admission Number or
3. Foreign Passport Number and the Country of Issuance.

Alien Registration Number/USCIS Number Enter your 7- to 9-digit Alien Registration Number (A-Number)/USCIS Number, if any, in this field. To do so, enter the number in the space provided, then select either Alien Registration Number or USCIS Number from the drop-down. If you select Alien Registration Number from the drop-down, an “A” will appear before the number you entered. Currently, the USCIS number is the same as the Alien number without the “A” prefix. If you do not provide an Alien Registration Number/USCIS Number, enter either a Form I-94 Admission Number or Foreign Passport Number in the fields provided. This field will then be populated with N/A. Aliens authorized to work must enter one of the following to complete Section 1:
1. Alien Registration Number (A-Number)/USCIS Number or
2. Form I-94 Admission Number or
3. Foreign Passport Number and the Country of Issuance.

OR

A

(###-###-###)

Form I-94 Admission Number: Enter your 11-digit I-94 admission number or 9 digits followed by one letter followed by one digit (e.g. #########A#) in this field. If you do not provide an I-94 Admission Number, enter either an Alien Registration Number/USCIS Number or a Foreign Passport number in the fields provided. This field will then be populated with N/A.

Aliens authorized to work must enter one of the following to complete Section 1:
1. Alien Registration Number (A-Number) /USCIS Number or
2. Form I-94 Admission Number or
3. Foreign Passport Number and the Country of Issuance.

Form I-94 Admission Number Enter your 11-digit I-94 admission number or 9 digits followed by one letter followed by one digit (e.g. #########A#) in this field. If you do not provide an I-94 Admission Number, enter either an Alien Registration Number/USCIS Number or a Foreign Passport number in the fields provided. This field will then be populated with N/A. Aliens authorized to work must enter one of the following to complete Section 1:
1. Alien Registration Number (A-Number) /USCIS Number or
2. Form I-94 Admission Number or
3. Foreign Passport Number and the Country of Issuance.

OR

Foreign Passport Number: Enter your 6- to 12-digit alpha numeric Foreign Passport Number in this field. For numbers with fewer than 6-digits, add a leading zero(s). For example, a number of "A1234" should be entered as "0A1234." If you do not provide a Foreign Passport number, enter either your Alien Number/USCIS Number or your I-94 Admission Number in the fields provided. This field will then be populated with N/A.

Aliens authorized to work must enter one of the following to complete Section 1:
1. Alien Registration Number (A-Number)/USCIS Number or
2. Form I-94 Admission Number or
3. Foreign Passport Number and the Country of Issuance.

Foreign Passport Number Enter your Foreign Passport Number in this field. If you do not provide a foreign passport number, enter either your Alien Number/USCIS Number or your I-94 admission number in the fields provided. This field will then be populated with N/A. Aliens authorized to work must enter one of the following to complete Section 1:
1. Alien Registration Number (A-Number)/USCIS Number or
2. Form I-94 Admission Number or
3. Foreign Passport Number and the Country of Issuance.

Issuing Country:* If you entered your foreign passport number in the Foreign Passport Number field, select the country of issuance of the foreign passport you used to enter the United States from the drop-down list provided. You may also type the first letter of the country and use the down arrow to select your country of issuance.

If you entered an Alien Registration Number/USCIS Number or I-94 admission number, or you entered N/A in the Foreign Passport Number field, this field will contain N/A.

Issuing Country If you entered your foreign passport number in the Foreign Passport Number field, select the country of issuance of the foreign passport you used to enter the United States from the drop-down list provided. You may also type the first letter of the country and use the down arrow to select your country of issuance. If you entered an Alien Registration Number/USCIS Number or I-94 admission number, or you entered N/A in the Foreign Passport Number field, this field will contain N/A.

I Do Not Have My Documents Available At This Time

Employment Verification Documents (The Employee must present one document from List A OR one document from List B and List C).

Use the drop-down menu to select a document from List A or one from List B and C. Then, enter the respective document number(s) and
expiration date(s).

Document Type
List A
List B
List C

I Do Not Have My Documents Available At This Time

Employment Verification Documents (The Employee Must Present One Document from List A OR one document from List B and List C)

Reset

List A:

List B:

List C:

Select Employee Document Type

	List A
2	Select the List A document provided by the Employee and provide the document details:
Document Type:	*
Attachment: Attachment Attachment. Take picture

Foreign Passport I-94 Document
A-Number/USCIS Number:*	* Enter the 7- to 9-digit Alien Registration Number (A-Number)/USCIS Number, in this field. The A-Number/USCIS Number can be found on the face of the EAD Card (Form I-766). For numbers with fewer than nine digits, add leading zero(s). For example, a number of "1234567" should be entered as "001234567".
Issuing Authority:* Issuing Authority	*
Issuing Authority:* Issuing Authority	*
Issuing Authority:* Issuing Authority	*
Issuing Authority:* Issuing Authority
Issuing Authority:* Issuing Authority	*
Passport I-94 Card Number:* Document #:* Document	*
Passport I-94 Expires:* Expires Enter the expiration date of the document you selected. A document is not acceptable if it has already expired. An unexpired document includes a document where the expiration date shown on the face of a document has been automatically extended, such as for individuals with Temporary Protected Status. If the document does not have an expiration date, select N/A.	* Not Applicable (N/A)
Temporary I-551 Stamp I-551 Printed Notation on a MRIV Issuing Authority
I-94 Issuing Authority:* I-20 Issuing Authority:* Issuing Authority:* Issuing Authority	*
I-94 Document #:* I-20 Document #:* Temporary I-551 Document #:* Form I-797C Receipt Number :* Document	*
I-94 Expires:* Temporary I-551 Expires:* Expires	* N/A (Not Applicable)
Additional Documents:* Temporary I-551 Type*	* Certain Foreign National employees may need to present additional documents in support of their List A document in order complete the employment eligibility verification process. Use this drop-down menu to select the Additional Documents option that pertains to the Foreign employee. Then, enter the respective document number(s) and expiration date(s). List A: Take picture
DS-2019 Issuing Authority:* I-20 Issuing Authority:*	*
DS-2019 Document #:* I-20 Document #:* Document Enter the Form I-20 number (Student and Exchange Visitor Number - SEVIS Number). SEVIS Numbers must start with a letter followed by 10-11 numbers.	*
H-1B Filing Date:* H2A Filling Date:* Extension Filing Date:*	*
Reverification Due Date:* Reverification Due Date	*
DS-2019 Expires:* I-20 Expires:* H2A Expires:* Expiry Date Enter the work authorization end date from the Form I-20 as the expiry date.	*
Attachment
	According to USCIS, an acceptable receipt is not issued for the selected Document Type. Since receipts are not issued for this document, the receipt checkbox is disabled. Employee presented an acceptable receipt in lieu of an original document in List A If an employee is unable to present a required document, the employee can present an acceptable receipt in lieu of an original document (see Handbook for Employer, M-274 for additional USCIS guidance) If the employee provides an acceptable receipt, you should: • Check the receipt checkbox and confirm the correct List Document (A, B or C) is selected • Enter the document number (if any) in the Document Number field • Enter the last day that the receipt is valid in the ‘Expires’ date field. Typically, receipts are valid for 90 days from the start date or, in the case of reverification, within 90 days from the date employment authorization expires. • Advise the employee to present the original document before the receipt expires. When the employee provides the original document, you should: • Uncheck the receipt checkbox • Update the Issuing Authority, Expires date, and any other document information as necessary based upon the information in the new original document • Save and resign Section 2 Employee presented an acceptable receipt in lieu of an original document in List C If an employee is unable to present a required document, the employee can present an acceptable receipt in lieu of an original document (see Handbook for Employer, M-274 for additional USCIS guidance) If the employee provides an acceptable receipt, you should: • Check the receipt checkbox and confirm the correct List Document (A, B or C) is selected • Enter the document number (if any) in the Document Number field • Enter the last day that the receipt is valid in the ‘Expires’ date field. Typically, receipts are valid for 90 days from the start date or, in the case of reverification, within 90 days from the date employment authorization expires. • Advise the employee to present the original document before the receipt validity period expires. When the employee provides the original document, you should: • Uncheck the receipt checkbox • Update the Issuing Authority, Expires date, and any other document information as necessary based upon the information in the new original document • Save and electronically amend Section 2
The Authorized to Work Until Date in Section 1 does not match the Employment Authorization Document expiration date in Section 2. Section 1 Authorized to Work Until Date: Section 2 Employment Authorization Document expiration date: Section 2 Reverification Due Date: Please verify that you entered the correct expiration date for the Employment Authorization Document presented by the employee. Was the correct date entered in Section 2? Form I-9 rules state the employment authorization expiration date provided by your employee in Section 1 may not match the document expiration date recorded under List A or List C in Section 2. The earlier date must be used to determine when reverification is necessary. Based upon the information provided by the employee in Section 1 and the documents presented for completion of Section 2, this employee has temporary work authorization until . The system will track this date for reverification. Consider asking the employee if they misentered their Authorized to Work Until Date in Section 1. If the Section 1 date is incorrect, ask the employee to update the date value and complete the Form I-9 amendment process. Click Save/Validate Section 2 to Continue. The Section 2 Employment Authorization Date must be corrected Please click Okay to close this message, carefully inspect the Employment Authorization Document, and enter the correct Employment Authorization Document expiration date. Then click the Save/Validate button to proceed. Click Okay to Continue.

	List B
2	Select the List B document provided by the Employee and provide the document details:
Document Type:	*
Attachment:* Attachment Attachment. Take picture

Driver license/ID:*	*
State:*	*
Document Title:* Document Title
Issuing Authority:* Issuing Authority	*
Document #:* Document	*
Expires:* Expires	* Not Applicable (N/A) Auto-Extended Document COVID-19 Receipt List B documents that expired on or after March 1, 2020 should be treated as an acceptable receipt per DHS policy changes adopted as a response to the COVID-19 pandemic. Within 90 days after DHS’s termination of this temporary policy, the employee will be required to present a valid unexpired document. Note: Per DHS guidelines, it is best if the employee can present the replacement of the actual document that was expired, but if necessary, the employee may choose to present a different List A or List B document or documents and record the new document information in the Additional Information Field.
Attachment
* Not a document
	According to USCIS, an acceptable receipt is not issued for the selected Document Type. Since receipts are not issued for this document, the receipt checkbox is disabled. Employee presented an acceptable receipt in lieu of an original document in List B If an employee is unable to present a required document, the employee can present an acceptable receipt in lieu of an original document (see Handbook for Employer, M-274 for additional USCIS guidance) If the employee provides an acceptable receipt, you should: • Check the receipt checkbox and confirm the correct List Document (A, B or C) is selected • Enter the document number (if any) in the Document Number field • Enter the last day that the receipt is valid in the ‘Expires’ date field. Typically, receipts are valid for 90 days from the start date or, in the case of reverification, within 90 days from the date employment authorization expires. • Advise the employee to present the original document before the receipt validity period expires. When the employee provides the original document, you should: • Uncheck the receipt checkbox • Update the Issuing Authority, Expires date, and any other document information as necessary based upon the information in the new original document • Save and electronically amend Section 2 Employee presented an acceptable receipt in lieu of an original document in List C If an employee is unable to present a required document, the employee can present an acceptable receipt in lieu of an original document (see Handbook for Employer, M-274 for additional USCIS guidance) If the employee provides an acceptable receipt, you should: • Check the receipt checkbox and confirm the correct List Document (A, B or C) is selected • Enter the document number (if any) in the Document Number field • Enter the last day that the receipt is valid in the ‘Expires’ date field. Typically, receipts are valid for 90 days from the start date or, in the case of reverification, within 90 days from the date employment authorization expires. • Advise the employee to present the original document before the receipt validity period expires. When the employee provides the original document, you should: • Uncheck the receipt checkbox • Update the Issuing Authority, Expires date, and any other document information as necessary based upon the information in the new original document • Save and electronically amend Section 2

List C
3	Select the List C document provided by the Employee and provide the document details:
Document Type: Document Type	*
Attachment:* Attachment Attachment. Take picture

Document Title:* Document Title Enter the Document Title of the DHS Employment Authorization Document.	*
Issuing Authority:* Issuing Authority	*
Issuing Authority:* Issuing Authority	*
Document#:* Document	*
Expires:* Expires	* Not Applicable (N/A)
Attachment:
	According to USCIS, an acceptable receipt is not issued for the selected Document Type. Since receipts are not issued for this document, the receipt checkbox is disabled. Employee presented an acceptable receipt in lieu of an original document in List C If an employee is unable to present a required document, the employee can present an acceptable receipt in lieu of an original document (see Handbook for Employer, M-274 for additional USCIS guidance) If the employee provides an acceptable receipt, you should: • Check the receipt checkbox and confirm the correct List Document (A, B or C) is selected • Enter the document number (if any) in the Document Number field • Enter the last day that the receipt is valid in the ‘Expires’ date field. Typically, receipts are valid for 90 days from the start date or, in the case of reverification, within 90 days from the date employment authorization expires. • Advise the employee to present the original document before the receipt validity period expires. When the employee provides the original document, you should: • Uncheck the receipt checkbox • Update the Issuing Authority, Expires date, and any other document information as necessary based upon the information in the new original document • Save and electronically amend Section 2 Employee presented an acceptable receipt in lieu of an original document in List C If an employee is unable to present a required document, the employee can present an acceptable receipt in lieu of an original document (see Handbook for Employer, M-274 for additional USCIS guidance) If the employee provides an acceptable receipt, you should: • Check the receipt checkbox and confirm the correct List Document (A, B or C) is selected • Enter the document number (if any) in the Document Number field • Enter the last day that the receipt is valid in the ‘Expires’ date field. Typically, receipts are valid for 90 days from the start date or, in the case of reverification, within 90 days from the date employment authorization expires. • Advise the employee to present the original document before the receipt validity period expires. When the employee provides the original document, you should: • Uncheck the receipt checkbox • Update the Issuing Authority, Expires date, and any other document information as necessary based upon the information in the new original document • Save and electronically amend Section 2

Additional Information

Auto-Extended Document Alert

The document expiration date entered is expired.

If the employee's List B expired on or after March 1, 2020, and the issuing authority has extended the document expiration date due to COVID-19, then it is acceptable as a List B document for Form I-9. Check the Auto-Extended Document checkbox below and enter "COVID-19 EXT" in the Additional Information field.

Otherwise, click cancel to close this message.

Auto-Extended Document

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Acceptable Expired Document Alert

If the employee's List B documents expired on or after March 1, 2020 and has not been automatically extended by the issuing authority, then it may be treated as a valid receipt. Check the COVID-19 Receipt checkbox below and enter the text “COVID-19” in the Additional Information field.

Otherwise, click the cancel button to close this message.

COVID-I9 Receipt

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Expiration Date Warning

The List B document expiration date entered is expired. However, due to temporary changes to DHS policy, the document is still valid.

Has this document been automatically extended by the issuing authority?

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Provide an Electronic Signature

***IMPORTANT: YOU ARE SIGNING A U.S. GOVERNMENT FORM***

Enter your legal name as your electronic signature:

Employee Name (First, Middle Initial, and Last) *

2
Select the box next to “ I agree” to acknowledge that you have read and accept the fact that you are signing a U.S. Government Form and that you are 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 agree * After completing Section 1, click the “I Agree” checkbox and then click the Sign Section 1 button below

By signing this form, you attest under penalty of perjury (28 U.S.C. §1746) that the information you provided; the citizenship or immigration status you selected; and all information and documentation you provide to your employer, is complete, true and correct, and you are aware that you may face severe penalties provided by law and may be subject to criminal prosecution for knowingly or willfully making false statements or using false documentation when completing this form.

If anyone other than the employee completes Section 1, both the employee and the preparer or translator should complete their respective areas of Section 1, then sign Section 1. If the employee is a minor (individual under age 18) or a person with a disability (who is placed in employment by a nonprofit organization, association or as part of a rehabilitation program) who cannot present an identity document, refer to the section of the Form I-9 instructions titled “Signature of the Employee” for more information.

I agree After completing Section 1, click the “I Agree” checkbox and then click the Sign Section 1 button below By signing this form, you attest under penalty of perjury (28 U.S.C. §1746) that the information you provided; the citizenship or immigration status you selected; and all information and documentation you provide to your employer, is complete, true and correct, and you are aware that you may face severe penalties provided by law and may be subject to criminal prosecution for knowingly or willfully making false statements or using false documentation when completing this form. If anyone other than the employee completes Section 1, both the employee and the preparer or translator should complete their respective areas of Section 1, then sign Section 1. If the employee is a minor (individual under age 18) or a person with a disability (who is placed in employment by a nonprofit organization, association or as part of a rehabilitation program) who cannot present an identity document, refer to the section of the Form I-9 instructions titled “Signature of the Employee” for more information.

3
Preparer and/or Translator Certification (select one):* Select the number of preparers and/or translators you used to complete the form if any. If you are the employee and you did not use a preparer or translator, you must select the first option marked “I did not use a preparer or translator.”

If one or more preparers or translators assist the employee in completing Section 1, the preparer or translator must select the second box marked “A preparer(s) and/or translator(s) assisted the employee in completing Section 1” and complete the rest of the fields below.

The preparer and/or translator also must select the number of Certification areas needed from the dropdown provided. There is no limit to the number of preparers and/or translators that can be used, however each additional preparer and/or translator must complete and sign a separate Certification area. When more than 5 preparer/translator certification are required, the Supplement for Section 1 Preparer and/or Translator must be printed and preparer/translator 6 and beyond must complete the certification on paper.

Parents or legal guardians attesting to the identity of minors (individuals under 18) and individuals attesting to the identity of certain employees with disabilities must complete this section.

Preparer and/or Translator Certification Select the number of preparers and/or translators you used to complete the form if any. If you are the employee and you did not use a preparer or translator, you must select the first option marked “I did not use a preparer or translator.” If one or more preparers or translators assist the employee in completing Section 1, the preparer or translator must select the second box marked “A preparer(s) and/or translator(s) assisted the employee in completing Section 1” and complete the rest of the fields below. The preparer and/or translator also must select the number of Certification areas needed from the dropdown provided. There is no limit to the number of preparers and/or translators that can be used, however each additional preparer and/or translator must complete and sign a separate Certification area. When more than 5 preparer/translator certification are required, the Supplement for Section 1 Preparer and/or Translator must be printed and preparer/translator 6 and beyond must complete the certification on paper. Parents or legal guardians attesting to the identity of minors (individuals under 18) and individuals attesting to the identity of certain employees with disabilities must complete this section.

I did not use a preparer or translator If you are the employee and you did not use a preparer or translator, you must select this box “I did not use a preparer or translator.”

I did not use a preparer or translator If you are the employee and you did not use a preparer or translator, you must select this box “I did not use a preparer or translator.”

A preparer(s) and/or translator(s) assisted the employee in completing Section 1 If one or more preparers or translators assist the employee in completing Section 1, the preparer or translator must select this box “A preparer(s) and/or translator(s) assisted the employee in completing Section 1.” The preparer and/or translator also must select the number of Certification areas needed from the dropdown provided. If this box is selected, the preparer or translator must complete the rest of the fields below.

A preparer(s) and/or translator(s) assisted the employee in completing Section 1 If one or more preparers or translators assist the employee in completing Section 1, the preparer or translator must select this box “A preparer(s) and/or translator(s) assisted the employee in completing Section 1.” The preparer and/or translator also must select the number of Certification areas needed from the dropdown provided. If this box is selected, the preparer or translator must complete the rest of the fields below.

How Many?*

Preparer/Translator 1

First Name * Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field.

The first name is also the given name.

First Name Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field. The first name is also the given name.
Last Name * Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field.

The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Last Name Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field. The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Preparer’s/Translator’s Address (Street Name and Number) * Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field.

Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field.

If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”

Preparer’s/Translator’s Address Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field. Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field. If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”
- City * Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
  
  City Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
- State * Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory.
  
  If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
  
  State Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory. If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
- Zip Code * Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
  
  Zip Code Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
I attest, under penality of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct*

Preparer/Translator 2

First Name * Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field.

The first name is also the given name.

First Name Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field. The first name is also the given name.
Last Name * Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field.

The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Last Name Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field. The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Preparer’s/Translator’s Address (Street Name and Number) * Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field.

Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field.

If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”

Preparer’s/Translator’s Address Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field. Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field. If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”
- City * Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
  
  City Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
- State * Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory.
  
  If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
  
  State Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory. If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
- Zip Code * Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
  
  Zip Code Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
I attest, under penality of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct*

Preparer/Translator 3

First Name * Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field.

The first name is also the given name.

First Name Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field. The first name is also the given name.
Last Name * Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field.

The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Last Name Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field. The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Preparer’s/Translator’s Address (Street Name and Number) * Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field.

Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field.

If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”

Preparer’s/Translator’s Address Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field. Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field. If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”
- City * Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
  
  City Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
- State * Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory.
  
  If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
  
  State Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory. If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
- Zip Code * Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
  
  Zip Code Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
I attest, under penality of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct*

Preparer/Translator 4

First Name * Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field.

The first name is also the given name.

First Name Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field. The first name is also the given name.
Last Name * Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field.

The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Last Name Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field. The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Preparer’s/Translator’s Address (Street Name and Number) * Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field.

Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field.

If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”

Preparer’s/Translator’s Address Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field. Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field. If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”
- City * Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
  
  City Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
- State * Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory.
  
  If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
  
  State Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory. If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
- Zip Code * Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
  
  Zip Code Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
I attest, under penality of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct*

Preparer/Translator 5

First Name * Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field.

The first name is also the given name.

First Name Enter the full legal first name of the person who helped the employee in preparing or translating Section 1 in this field. The first name is also the given name.
Last Name * Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field.

The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Last Name Enter the full legal last name of the person who helped the employee in preparing or translating Section 1 in this field. The last name is also the family name or surname. If the preparer or translator has two last names or a hyphenated last name, include both names in this field.

Preparer’s/Translator’s Address (Street Name and Number) * Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field.

Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field.

If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”

Preparer’s/Translator’s Address Enter the street name and number of the current address of the person who helped the employee in preparing or translating Section 1 in this field. Addresses in Canada or Mexico may be entered in this field. If the address is an apartment, include the apartment number in this field. If the person does not have a physical address, enter a description of the person’s location, such as “3 miles southwest of Anytown post office near water tower.”
- City * Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
  
  City Enter the city, town or village of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address is not located in a city or town, enter the name of the village, country, township, reservation, etc., in this field. If the address is in Canada, enter the city and province in this field. If the address is in Mexico, enter the city and state in this field.
- State * Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory.
  
  If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
  
  State Select the state, territory or country of the preparer or translator’s address from the drop-down list. You may also type the first letter of the abbreviation and use the down arrow to select your state or territory. If the preparer or translator entered an address from Canada or Mexico, choose the country abbreviation, located at the end of the drop-down list.
- Zip Code * Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field.
  
  If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
  
  Zip Code Enter the 5-digit ZIP code of the address of the person who helped the employee in preparing or translating Section 1 in this field. If the address the preparer or translator entered is in Canada or Mexico, enter the 5- or 6-digit postal code in this field.
I attest, under penality of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct*

4
Click “Sign Form I-9 Electronically” to complete the electronic signature.

Warning IMPORTANT: Section 1 Cannot Be Signed Until All Curable Errors Are Corrected. Edit this section to address all curable errors as listed in the Form I-9 Validation Alerts box.

The following Section 1 fields are empty:

Middle Initial
Other Last Names Used
Apt. Number
Employee's Email Address
Employee's Telephone Number

ALL fields are required. Enter "N/A" for fields that do not apply to you. The SSN field is optional if your employer does not participate in E-Verify.

Click Continue to enter N/A for the listed fields. Click Cancel to remain on the Section 1 screen and make changes.

Continue

and enter "N/A" for all empty fields

Cancel

and edit Section 1

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Progression

Employment Eligibility Verification

Employee Name and Identification

Employee Address and Contact Information

Employee Employment Status

Employment Verification Documents (The Employee Must Present One Document from List A OR one document from List B and List C)

Auto-Extended Document Alert

Acceptable Expired Document Alert

Expiration Date Warning

Provide an Electronic Signature

Validation Summary

Must be fixed before saving

Data not saved

Validation Summary

Must be fixed before saving

Data not saved

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