USCIS Form I-9

Please Note: this form generates a signed USCIS I-9 Form within our online employment system. Optionally, you may also download the document PDF and return it to us by fax or email attachment.

Employee Information

Employees must complete this form no later than the first day of employment, but not before accepting a job offer.

Name(Required)

First Middle Last

Other Last Names Used (if any)

Cell Phone(Required)

Email Address(Required)

Social Security Number(Required)

Date of Birth(Required)

Home Address

Address (Street Number and Name)(Required)

Apt Number

City or Town(Required)

State(Required)

ZIP Code(Required)

Employee Attestation

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 boxes.

A citizen of the United States

1.A citizen of the United States.

A noncitizen national of the United States (See instructions)

2.A noncitizen national of the United States (See instructions)

A lawful permanent resident

3.A lawful permanent resident

Alien Registration Number/USCIS Number(Required)

A noncitizen (other than item numbers 2, and 3 above) authorized to work.

4.A noncitizen (other than item numbers 2, and 3 above) authorized to work.

Alien Work Expiration Date(Required)

Alien Registration Number/USCIS Number

Form I-94 Admission Number

Foreign Passport Number and Country of Issuance

Agreement

Legal Consent(Required)

Consumer Disclosure Regarding Conducting Business Electronically and Signing USCIS Form I-9 Electronically

Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By submitting the USCIS Form I-9 electronically, you are agreeing that you have reviewed this Consumer Disclosure and consent to transact business electronically, to use electronic signatures instead of wet ink signatures for this form and any related immigration forms, and to receive notices and disclosures electronically.

You are not required to submit immigration forms electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from Professional Recruiters Group and withdraw your consent at any time, as described below.

Scope of Consent
By utilizing this Service, you agree to submit the USCIS Form I-9 and any related immigration forms electronically. You also agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your employment with Professional Recruiters Group. You may withdraw your consent, at any time, by following the procedures outlined below.

Paper Copies
You are not required to submit immigration forms electronically, or receive notices or disclosures electronically, and may request paper copies of documents or disclosures, if you prefer. You also have the ability to download and print any signed or unsigned documents sent to you through the electronic signature service. Professional Recruiters Group may also email you a copy of all documents you sign using the electronic signature service. If you wish to receive paper copies instead of electronic documents you may request paper copies from Professional Recruiters Group by following the procedures outlined below. Professional Recruiters Group may apply a charge for additional expenses incurred by printing and mailing paper copies.

Withdrawal of Consent
You may withdraw your consent to submit forms and receive electronic documents, notices or disclosures at any time. In order to withdraw consent you must notify Professional Recruiters Group that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below.

Withdrawing your consent, requesting a paper copy, or updating your contact information
You always have the ability to download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please contact Professional Recruiters Group directly; by telephone, by email (sent to Professional Recruiters Group with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices.

“Withdrawal of Consent To Transact Business Electronically” To allow Professional Recruiters Group to identify and facilitate your withdrawal of consent to transact business electronically, please provide your name, email address, the date on which you are withdrawing your consent, your telephone number and mailing address.

“Requesting A Paper Copy” To allow Professional Recruiters Group to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide Professional Recruiters Group with your name, email address, mailing address, telephone number, and name of the doc.

I agree to the terms and conditions.(Required)