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Form I-9 Employment Eligibility Verification

Publisher of the source document
USCIS
Language
English
Human reviewed on
2026-08-06
Source PDF
Official source

We identified this PDF through public web research and acquired the frozen research copy only from the publisher's official URL. It was not supplied by a customer, user, or partner and was not uploaded through DocAccessible. This page is the reviewed HTML conversion of the official USCIS publication, produced for the PDF-to-HTML benchmark corpus. Automated diagnostics and the completed project-owner review record are published below. This is not an independent audit, certification, or conformance claim. The publisher's PDF linked above remains the document of record.

Conversion method and notes

Method: text extraction with manual semantic markup.

  • This accessible version documents the form content as a structured, non-functional representation; it is not a fillable form. Fields are rendered as definition-list entries or list items with their labels and printed instructions, and checkbox groups as lists of options.
  • Short authored field-entry descriptions ('Blank entry field.', 'Signature field.', 'Open text box.', 'Checkbox') stand in for the blank entry boxes of the printed form.
  • The four citizenship or immigration status checkboxes in Section 1 are an ordered list matching the printed numbering 1 through 4.
  • The Section 2 document-entry grid (List A OR List B AND List C columns plus the Additional Information box) was linearized into nested lists that keep the printed column headers and OR/AND conjunctions.
  • The three-column Lists of Acceptable Documents page was linearized into single-column order: List A, then List B, then List C, followed by the Acceptable Receipts row in the same List A, List B, List C order.
  • Supplement A's four identical preparer/translator certification blocks and Supplement B's three identical reverification and rehire blocks are each reproduced in full, separated by horizontal rules.
  • Running page headers and footers (page numbers and the repeated 'Form I-9 Edition 01/20/25' line) were dropped; the edition line is kept once at the end of the document.

Benchmark evidence

Automated diagnostics and human review

Automated markup

attention

1 high-confidence item flagged.

Rendered visual coverage

60.56%

4 sampled source pages · no pass threshold

Automated text fidelity

Below threshold

77.61% fidelity · 90% threshold

Human review

Complete

Project owner / Specialist

Text-region alignment
67.52%
Horizontal layout
75.19%
Raster structure
87.56%
Image-object pages
0%
Token F1
91.81%
Ordered five-token F1
68.13%
Source extraction
Embedded PDF text
Words
2509
Headings
9
Lists
22
Links
1
Tables
0
Form controls
0

Automated attention

  • Form representation: Form behavior is planned, but no native HTML form controls are present.

Visual-coverage attention

  • Fewer than 70% of sampled source-page text sequences aligned to the HTML render.
  • At least one sampled PDF page with image objects has no aligned HTML visual element.
  • Planned visual representations are absent: native form controls.
Inspect the completed human-review record
text fidelity
pass
reading order
pass
headings lists links
pass
visuals
not applicable
tables
not applicable
forms
pass
language direction
not applicable
Source SHA-256
780f348c34df694bb0b4dbbfaf9f22b99b9757b80d16a37ba89aadf069597281
Conversion SHA-256
99cd3a93f4eca635ab281831fdacb47f8d98637f03baf5a5bd2f066329d033e9

Project owner confirmed source-grounded manual review of this exact source and conversion revision. This record is not an independent accessibility certification or legal opinion.

Download the completed human-review record

The source score measures normalized text retention and local order. Visual coverage compares aligned rendered regions and object representation. Neither automated result independently establishes visual equivalence, semantic correctness, or accessibility conformance. Human review is a separate, exact-revision project-owner record.

Document content

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS Form I-9

OMB No.1615-0047

Expires 05/31/2027

START HERE: Employers must ensure the form instructions are available to employees when completing this form. Employers are liable for failing to comply with the requirements for completing this form. See below and the Instructions.

ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation to present for Form I-9. Employers cannot ask employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or Supplement B, Reverification and Rehire. Treating employees differently based on their citizenship, immigration status, or national origin may be illegal.

Section 1. Employee Information and Attestation

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.

Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial (if any)
Blank entry field.
Other Last Names Used (if any)
Blank entry field.
Address (Street Number and Name)
Blank entry field.
Apt. Number (if any)
Blank entry field.
City or Town
Blank entry field.
State
Blank entry field.
ZIP Code
Blank entry field.
Date of Birth (mm/dd/yyyy)
Blank entry field.
U.S. Social Security Number
Blank entry field.
Employee's Email Address
Blank entry field.
Employee's Telephone Number
Blank entry field.

I am aware that federal law provides for imprisonment and/or fines for false statements, or the use of false documents, in connection with the completion of this form. I attest, under penalty of perjury, that this information, including my selection of the box attesting to my citizenship or immigration status, is true and correct.

Check one of the following boxes to attest to your citizenship or immigration status (See page 2 and 3 of the instructions.):

  1. A citizen of the United States
  2. A noncitizen national of the United States (See Instructions.)
  3. A lawful permanent resident (Enter USCIS or A-Number.)
  4. An alien authorized to work until (exp. date, if any)

If you check Item Number 4., enter one of these:

  • USCIS A-Number
  • OR Form I-94 Admission Number
  • OR Foreign Passport Number and Country of Issuance
Signature of Employee
Signature field.
Today's Date (mm/dd/yyyy)
Blank entry field.

If a preparer and/or translator assisted you in completing Section 1, that person MUST complete the Preparer and/or Translator Certification on Page 3.

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.

Document entry columns as printed: List A OR List B AND List C. Each labeled item below is a blank entry field.

  • List A
    • 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)
  • OR List B
    • Document Title 1
    • Issuing Authority
    • Document Number (if any)
    • Expiration Date (if any)
  • AND List C
    • Document Title 1
    • Issuing Authority
    • Document Number (if any)
    • Expiration Date (if any)
  • Additional Information
    • Open text box.
  • Checkbox: Check here if you used an alternative procedure authorized by DHS to examine documents.

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)
Blank entry field.
Last Name, First Name and Title of Employer or Authorized Representative
Blank entry field.
Signature of Employer or Authorized Representative
Signature field.
Today's Date (mm/dd/yyyy)
Blank entry field.
Employer's Business or Organization Name
Blank entry field.
Employer's Business or Organization Address, City or Town, State, ZIP Code
Blank entry field.

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

LISTS OF ACCEPTABLE DOCUMENTS

All documents containing an expiration date must be unexpired.

* Documents extended by the issuing authority are considered unexpired.

Employees may present one selection from List A or a combination of one selection from List B and one selection from List C.

Examples of many of these documents appear in the Handbook for Employers (M-274).

LIST A

Documents that Establish Both Identity and Employment Authorization

  1. U.S. Passport or U.S. Passport Card
  2. Permanent Resident Card or Alien Registration Receipt Card (Form I-551)
  3. Foreign passport that contains a temporary I-551 stamp or temporary I-551 printed notation on a machine-readable immigrant visa
  4. Employment Authorization Document that contains a photograph (Form I-766)
  5. For an individual temporarily authorized to work for a specific employer because of his or her status or parole:
    • a. Foreign passport; and
    • b. Form I-94 or Form I-94A that has the following:
      • (1) The same name as the passport; and
      • (2) An endorsement of the individual's status or parole as long as that period of endorsement has not yet expired and the proposed employment is not in conflict with any restrictions or limitations identified on the form.
  6. Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form I-94 or Form I-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI

LIST B

Documents that Establish Identity

  1. Driver's license or ID card issued by a State or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, sex, height, eye color, and address
  2. ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, sex, height, eye color, and address
  3. School ID card with a photograph
  4. Voter's registration card
  5. U.S. Military card or draft record
  6. Military dependent's ID card
  7. U.S. Coast Guard Merchant Mariner Card
  8. Native American tribal document
  9. Driver's license issued by a Canadian government authority

For persons under age 18 who are unable to present a document listed above:

  1. School record or report card
  2. Clinic, doctor, or hospital record
  3. Day-care or nursery school record

LIST C

Documents that Establish Employment Authorization

  1. A Social Security Account Number card, unless the card includes one of the following restrictions:
    • (1) NOT VALID FOR EMPLOYMENT
    • (2) VALID FOR WORK ONLY WITH INS AUTHORIZATION
    • (3) VALID FOR WORK ONLY WITH DHS AUTHORIZATION
  2. Certification of report of birth issued by the Department of State (Forms DS-1350, FS-545, FS-240)
  3. Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal
  4. Native American tribal document
  5. U.S. Citizen ID Card (Form I-197)
  6. Identification Card for Use of Resident Citizen in the United States (Form I-179)
  7. Employment authorization document issued by the Department of Homeland Security

For examples, see Section 7 and Section 13 of the M-274 on uscis.gov/i-9-central.

The Form I-766, Employment Authorization Document, is a List A, Item Number 4. document, not a List C document.

Acceptable Receipts

May be presented in lieu of a document listed above for a temporary period.

For receipt validity dates, see the M-274.

  • List A
    • Receipt for a replacement of a lost, stolen, or damaged List A document.
    • Form I-94 issued to a lawful permanent resident that contains an I-551 stamp and a photograph of the individual.
    • Form I-94 with “RE” notation or refugee stamp issued to a refugee.
  • OR List B
    • Receipt for a replacement of a lost, stolen, or damaged List B document.
  • List C
    • Receipt for a replacement of a lost, stolen, or damaged List C document.

*Refer to the Employment Authorization Extensions page on I-9 Central for more information.

Supplement A, Preparer and/or Translator Certification for Section 1

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS Form I-9 Supplement A

OMB No. 1615-0047

Expires 05/31/2027

Last Name (Family Name) from Section 1.
Blank entry field.
First Name (Given Name) from Section 1.
Blank entry field.
Middle initial (if any) from Section 1.
Blank entry field.

Instructions: This supplement must be completed by any preparer and/or translator who assists an employee in completing Section 1 of Form I-9. The preparer and/or translator must enter the employee's name in the spaces provided above. Each preparer or translator must complete, sign, and date a separate certification area. Employers must retain completed supplement sheets with the employee's completed Form I-9.

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.

Signature of Preparer or Translator
Signature field.
Date (mm/dd/yyyy)
Blank entry field.
Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial (if any)
Blank entry field.
Address (Street Number and Name)
Blank entry field.
City or Town
Blank entry field.
State
Blank entry field.
ZIP Code
Blank entry field.

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.

Signature of Preparer or Translator
Signature field.
Date (mm/dd/yyyy)
Blank entry field.
Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial (if any)
Blank entry field.
Address (Street Number and Name)
Blank entry field.
City or Town
Blank entry field.
State
Blank entry field.
ZIP Code
Blank entry field.

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.

Signature of Preparer or Translator
Signature field.
Date (mm/dd/yyyy)
Blank entry field.
Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial (if any)
Blank entry field.
Address (Street Number and Name)
Blank entry field.
City or Town
Blank entry field.
State
Blank entry field.
ZIP Code
Blank entry field.

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.

Signature of Preparer or Translator
Signature field.
Date (mm/dd/yyyy)
Blank entry field.
Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial (if any)
Blank entry field.
Address (Street Number and Name)
Blank entry field.
City or Town
Blank entry field.
State
Blank entry field.
ZIP Code
Blank entry field.

Supplement B, Reverification and Rehire (formerly Section 3)

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS Form I-9 Supplement B

OMB No. 1615-0047

Expires 05/31/2027

Last Name (Family Name) from Section 1.
Blank entry field.
First Name (Given Name) from Section 1.
Blank entry field.
Middle initial (if any) from Section 1.
Blank entry field.

Instructions: This supplement replaces Section 3 on the previous version of Form I-9. Only use this page if your employee requires reverification, is rehired within three years of the date the original Form I-9 was completed, or provides proof of a legal name change. Enter the employee's name in the fields above. Use a new section for each reverification or rehire. Review the Form I-9 instructions before completing this page. Keep this page as part of the employee's Form I-9 record. Additional guidance can be found in the Handbook for Employers: Guidance for Completing Form I-9 (M-274)

Date of Rehire (if applicable)

Date (mm/dd/yyyy)
Blank entry field.

New Name (if applicable)

Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial
Blank entry field.

Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.

Document Title
Blank entry field.
Document Number (if any)
Blank entry field.
Expiration Date (if any) (mm/dd/yyyy)
Blank entry field.

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.

Name of Employer or Authorized Representative
Blank entry field.
Signature of Employer or Authorized Representative
Signature field.
Today's Date (mm/dd/yyyy)
Blank entry field.
Additional Information (Initial and date each notation.)
Open text box.
  • Checkbox: Check here if you used an alternative procedure authorized by DHS to examine documents.

Date of Rehire (if applicable)

Date (mm/dd/yyyy)
Blank entry field.

New Name (if applicable)

Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial
Blank entry field.

Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.

Document Title
Blank entry field.
Document Number (if any)
Blank entry field.
Expiration Date (if any) (mm/dd/yyyy)
Blank entry field.

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.

Name of Employer or Authorized Representative
Blank entry field.
Signature of Employer or Authorized Representative
Signature field.
Today's Date (mm/dd/yyyy)
Blank entry field.
Additional Information (Initial and date each notation.)
Open text box.
  • Checkbox: Check here if you used an alternative procedure authorized by DHS to examine documents.

Date of Rehire (if applicable)

Date (mm/dd/yyyy)
Blank entry field.

New Name (if applicable)

Last Name (Family Name)
Blank entry field.
First Name (Given Name)
Blank entry field.
Middle Initial
Blank entry field.

Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.

Document Title
Blank entry field.
Document Number (if any)
Blank entry field.
Expiration Date (if any) (mm/dd/yyyy)
Blank entry field.

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.

Name of Employer or Authorized Representative
Blank entry field.
Signature of Employer or Authorized Representative
Signature field.
Today's Date (mm/dd/yyyy)
Blank entry field.
Additional Information (Initial and date each notation.)
Open text box.
  • Checkbox: Check here if you used an alternative procedure authorized by DHS to examine documents.

Form I-9 Edition 01/20/25

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