IRS i9 Form - Construction Contractor Services

i9 Form 2022

CCS Online Application including IRS Form I-9, Form W-4, TRION

IRS Form I-9 | Employment Eligibility Verification
Please read the IRS Form I-9 Employment Eligibility Verification instructions carefully before completing this form. Click here to download the IRS Form I-9 instructions.

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) they will accept from an employee. The refusal to hire an individual because the documents have 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.)
Name*
First Last Middle Initial
Other Names Used (if any)
Address
Street Address Apt # City State ZIP Code
Date of Birth*
MM slash DD slash YYYY
U.S. Social Security Number*
Email Address
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):*
- A citizen of the United States
- A noncitizen national of the United States (See instructions)
- A lawful permanent resident
- An alien authorized to work until
Alien Registration Number/USCIS Number*
Expiration date, if applicable
MM slash DD slash YYYY

Some aliens may write “N/A” in this field. If so, leave this field blank. (See instructions)
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:*
- I will provide Alien Registration Number/USCIS Number
- I will provide Form I-94 Admission Number
- I will provide a Foreign Passport Number
Alien Registration Number/USCIS Number*
Form I-94 Admission Number*
Did you obtain your admission number from CBP in connection with your arrival in the United States
- Yes
- No
Please enter your Foreign Passport Number
Country of Issuance

Some aliens may write “N/A” on the Foreign Passport Number and Country of Issuance fields. (See instructions)
Signature of Employee*
If you are on a mobile device, turn your device to display a larger signature area.
Date*
MM slash DD slash YYYY
Preparer and/or Translator Certification
To be completed and signed if Section 1 is prepared by a person other than the employee.
I attest, under penalty 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.
Signature of preparer or translator
If you are on a mobile device, turn your device to display a larger signature area.
Date
MM slash DD slash YYYY
Name
First Last
Address
Street Address City State ZIP Code

i9 Form 2022

IRS Form I-9 | Employment Eligibility Verification

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.)

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.

Preparer and/or Translator Certification

CLEARWATER Office

Orlando Office