You, Student B. Success, have been hired to start on February 1, 2017, as the new accounting clerk. Your employee number is B- XXXXX, where "B" denotes that you are an office worker and "XXXXX" is the first five letters of your last name. Your Social Security number is 555-55-5555, and you are full-time, nonexempt, and paid at a rate of $34,000 per year. You have elected to contribute 2% of your gross pay to your 401(k). Complete the W-4 and the 1-9 to start your own employee file. You are single with only one job (claiming two exemptions). You live at 1644 Smitten Road, Woodstock, VT 05001. Your phone number is (555) 555 5555. Your date of birth is 01/01/1991. You are a citizen of the United States and provide a Vermont driver's license #88110009 expiring 1/1/2020 in addition to your Social Security card for verification of your identity. Required Complete the l-9 page 1 and page 2 for Student B Success. The following file provides the lists of acceptable documents. -(NOTE): Further instructions on format can be found on certain cells within the forms. Employer I9 PG 2 Section should also be completed The following file provides the lists of acceptable documents. Complete the question by entering your answers in the tabs below I9 PG 1 19 PG 2 Complete Page 1 of Form I-9 Employment Eligibility Verification USCIS Employment Eligibility Verification USCIS Form 1-9 OMB No. 1615-0047 Expires 08/31/2019 Department of Homeland Security U.S. Citizenship and Immigration Services START HERE. Read instructions carefully before completing this form. The instructions must be available during completion of this form. ANTI-DISCRIMINATION NOTICE: accept from an employee. The refusal to hire 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) Success Address (Street Number and Name) 1644 Smitten Road Date of Birth (mm/ddlyyyy) 01/01/1991 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): It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document s) they will First Name (Given Name) Student Middle Initial Other Names Used (if any) Apt Number City or Town State Zip Code 5001 oodstock U.S. Social Security Number 555-55-5555 E-mail Address Telephone Number 555-55-5555 A citizen of the United States A noncitizen national of the United States (see instructions) A lawful permanent resident (Alien Registration Number USCIS Number): An alien authorized to work until (expiration date,if applicable, mm/dd)yyy). Some aliens may write "N/A" in this field. (See instructions) For aliens authorized to work, provide your Alien Registration Number/USCIS Number OR Form 1-94 Admission Number 1. Alien Registration NumberUSCIS Number OR 3-D Barcode 2. Form 1-94 Admission Number: Do Not Write in This Space If you obtained your admission number from CBP in connection with your arrival in the United States, include the folllowing: 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: 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: Date (mm/ddlyyyy) Last Name (Family Name) First Name (Given Name) I9 PG 1 I9 PG 2 Compaoete Pare 2 of Form I-9 Section 2. Employer or Authorized Representative Review and Verification (Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. You must physically examine one document from List A OR examine a combination of one document from List B and one document from List C as listed on the "Lists of Acceptable Employee Info from Last Name (Family Name) Section 1 First Name (Given Name) M.I Citizenship/lmmigration Status ccess tudent (U.S. citizen) List A Identity and Employment Authorization OR List B AND List C Employment Authorization ldenti Document Title: Driver's license issued by state/territory Issuing Authority Document Title Document Title Issuing Authority: Issuing Authority: Document Number Document Number: Expiration Date (if any) (mm/ddlyyyy) Expiration Date (if any) (mm/ddlyyyy)Expiration Date (if any) (mm/ddyyyy) Issuing Authority Expiration Date (if any) (mm/ddlyyyy) 3-D Barcode Do Not Write in This Space Issuing Authority Expiration Date (if any) (mm/ddlyyyy) Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.) A. New Name (if applicable) Last Name (Family Name) First Name (Given Name) Middle Initial B. Date of Rehire f applicable) (mm/ddlyyyy) You, Student B. Success, have been hired to start on February 1, 2017, as the new accounting clerk. Your employee number is B- XXXXX, where "B" denotes that you are an office worker and "XXXXX" is the first five letters of your last name. Your Social Security number is 555-55-5555, and you are full-time, nonexempt, and paid at a rate of $34,000 per year. You have elected to contribute 2% of your gross pay to your 401(k). Complete the W-4 and the 1-9 to start your own employee file. You are single with only one job (claiming two exemptions). You live at 1644 Smitten Road, Woodstock, VT 05001. Your phone number is (555) 555 5555. Your date of birth is 01/01/1991. You are a citizen of the United States and provide a Vermont driver's license #88110009 expiring 1/1/2020 in addition to your Social Security card for verification of your identity. Required Complete the l-9 page 1 and page 2 for Student B Success. The following file provides the lists of acceptable documents. -(NOTE): Further instructions on format can be found on certain cells within the forms. Employer I9 PG 2 Section should also be completed The following file provides the lists of acceptable documents. Complete the question by entering your answers in the tabs below I9 PG 1 19 PG 2 Complete Page 1 of Form I-9 Employment Eligibility Verification USCIS Employment Eligibility Verification USCIS Form 1-9 OMB No. 1615-0047 Expires 08/31/2019 Department of Homeland Security U.S. Citizenship and Immigration Services START HERE. Read instructions carefully before completing this form. The instructions must be available during completion of this form. ANTI-DISCRIMINATION NOTICE: accept from an employee. The refusal to hire 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) Success Address (Street Number and Name) 1644 Smitten Road Date of Birth (mm/ddlyyyy) 01/01/1991 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): It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document s) they will First Name (Given Name) Student Middle Initial Other Names Used (if any) Apt Number City or Town State Zip Code 5001 oodstock U.S. Social Security Number 555-55-5555 E-mail Address Telephone Number 555-55-5555 A citizen of the United States A noncitizen national of the United States (see instructions) A lawful permanent resident (Alien Registration Number USCIS Number): An alien authorized to work until (expiration date,if applicable, mm/dd)yyy). Some aliens may write "N/A" in this field. (See instructions) For aliens authorized to work, provide your Alien Registration Number/USCIS Number OR Form 1-94 Admission Number 1. Alien Registration NumberUSCIS Number OR 3-D Barcode 2. Form 1-94 Admission Number: Do Not Write in This Space If you obtained your admission number from CBP in connection with your arrival in the United States, include the folllowing: 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: 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: Date (mm/ddlyyyy) Last Name (Family Name) First Name (Given Name) I9 PG 1 I9 PG 2 Compaoete Pare 2 of Form I-9 Section 2. Employer or Authorized Representative Review and Verification (Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. You must physically examine one document from List A OR examine a combination of one document from List B and one document from List C as listed on the "Lists of Acceptable Employee Info from Last Name (Family Name) Section 1 First Name (Given Name) M.I Citizenship/lmmigration Status ccess tudent (U.S. citizen) List A Identity and Employment Authorization OR List B AND List C Employment Authorization ldenti Document Title: Driver's license issued by state/territory Issuing Authority Document Title Document Title Issuing Authority: Issuing Authority: Document Number Document Number: Expiration Date (if any) (mm/ddlyyyy) Expiration Date (if any) (mm/ddlyyyy)Expiration Date (if any) (mm/ddyyyy) Issuing Authority Expiration Date (if any) (mm/ddlyyyy) 3-D Barcode Do Not Write in This Space Issuing Authority Expiration Date (if any) (mm/ddlyyyy) Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.) A. New Name (if applicable) Last Name (Family Name) First Name (Given Name) Middle Initial B. Date of Rehire f applicable) (mm/ddlyyyy)