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Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit

Every state we operate in, excluding Tennessee, has their own income tax withholding form. In the order of the application, this is where it will go, right after the federal W-4. HR will have separate instructions and training for each state.

I-9 & E-Verify

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This Organization Participates in E-Verify

Esta Organización Participa en E-Verify

We are required by law to verify the validity of Social Security Numbers provided to us by applicants. We can be fined up to $5,500 per person who we, The Employer, don’t do our due diligence vetting. Our clients pay us to keep them legal by handling all the vetting for them.

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE.UU.. Si E-Verify no puede confirmar que usted está autorizado para trabajar, este empleador está requerido a darle instrucciones por escrito y una oportunidad de contactar al Departamento de Seguridad Nacional (DHS) o a la Administración del Seguro Social (SSA) para que pueda empezar a resolver el problema antes de que el empleador pueda tomar cualquier acción en su contra, incluyendo la terminación de su empleo. Los empleadores sólo pueden utilizar E-Verify una vez que usted haya aceptado una oferta de trabajo y completado el Formulario I-9.

E-Verify has it’s own training which takes about 45 minutes to complete. Absorb it thoroughly.

If you skip E-Verify, you may be disciplined up to and including termination.

E-Verify Works for Everyone For more information on E-Verify, or if you believe that your employer has violated its E-Verify responsibilities, please contact DHS. E-Verify Funciona Para Todos Para más información sobre E-Verify, o si usted cree que su empleador ha violado sus responsabilidades de E-Verify, por favor contacte a DHS. 888-897-7781 dhs.gov/e-verify USCIS Form I-9 OMB No. 1615-0047 Expires 08/31/2019 Employment Eligibility Verification Department of Homeland Security U.S. Citizenship and Immigration Services ►START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form. 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. 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) First Name (Given Name) Middle Initial Other Last Names Used (if any)

English / Spanish Poster Address (Street Number and Name) Apt. Number City or Town State ZIP Code

This is a very standard form, but it is your responsibility to ensure that it is completed. One of the most common errors is not getting any answers following their bio data. There should be at least 1 check mark.

If they use a translator, please be sure that translator fills the bottom of this out, and that you get a copy of the translator’s ID.

Date of Birth (mm/dd/yyyy) U.S. Social Security Number - - Employee's E-mail Address Employee's Telephone Number

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):

1. A citizen of the United States

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

3. A lawful permanent resident (Alien Registration Number/USCIS Number):

4. An alien authorized to work until

(See instructions) (expiration date, if applicable, mm/dd/yyyy): Some aliens may write "N/A" in the expiration date field.

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.

QR Code - Section 1 Do Not Write In This Space

1. Alien Registration Number/USCIS Number: 2. Form I-94 Admission Number: 3. Foreign Passport Number: OR OR

Country of Issuance:

Signature of Employee Today's Date (mm/dd/yyyy)

Preparer and/or Translator Certification (check one): I did not use a preparer or translator. A preparer(s) and/or translator(s) assisted the employee in completing Section 1. (Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.) 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 Today's Date (mm/dd/yyyy)

Last Name (Family Name) First Name (Given Name)

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