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01-13-14 Council Agenda & Packet
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01-13-14 Council Agenda & Packet
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1/10/2014 2:47:58 PM
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City Council - City Clerk
City Council - Document Type
Agendas
City Counci - Date
1/13/2014
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All employees must attest in Section 1, under penalty of perjury, to their citizenship or immigration status by checking <br />one of the following four boxes provided on the form: <br />1. A citizen of the United States <br />2. A noncitizen national of the United States: Noncitizen nationals of the United States are persons born in American <br />Samoa, certain former citizens of the former Trust Territory of the Pacific Islands, and certain children of noncitizen <br />nationals born abroad. <br />3. A lawful permanent resident: A lawful permanent resident is any person who is not a U.S. citizen and who resides <br />in the United States under legally recognized and lawfully recorded permanent residence as an immigrant. The term <br />'lawful permanent resident' includes conditional residents. If you check this box, write either your Alien Registration <br />Number (A- Number) or USCIS Number in the field next to your selection. At this time, the USCIS Number is the <br />same as the A- Number without the "A" prefix. <br />4. An alien authorized to work: If you are not a citizen or national of the United States or a lawful permanent resident, <br />but are authorized to work in the United States, check this box. <br />If you check this box: <br />a. Record the date that your employment authorization expires, if any. Aliens whose employment authorization does <br />not expire, such as refugees, asylees, and certain citizens of the Federated States of Micronesia, the Republic of the <br />Marshall Islands, or Palau, may write "N /A" on this line. <br />b. Next, enter your Alien Registration Number (A- Number)/USCIS Number. At this time, the USCIS Number is the <br />same as your A- Number without the "A" prefix. If you have not received an A- Number/USCIS Number, record <br />your Admission Number. You can find your Admission Number on Form I -94, "Arrival- Departure Record," or as <br />directed by USCIS or U.S. Customs and Border Protection (CBP). <br />(1) If you obtained your admission number from CBP in connection with your arrival in the United States, then <br />also record information about the foreign passport you used to enter the United States (number and country of <br />issuance). <br />(2) If you obtained your admission number from USCIS within the United States, or you entered the United States <br />without a foreign passport, you must write "N /A" in the Foreign Passport Number and Country of Issuance <br />fields. <br />Sign your name in the "Signature of Employee" block and record the date you completed and signed Section 1. By signing <br />and dating this form, you attest that the citizenship or immigration status you selected is correct and that you are aware <br />that you may be imprisoned and /or fined for making false statements or using false documentation when completing this <br />form. To fully complete this form, you must present to your employer documentation that establishes your identity and <br />employment authorization. Choose which documents to present from the Lists of Acceptable Documents, found on the <br />last page of this form. You must present this documentation no later than the third day after beginning employment, <br />although you may present the required documentation before this date. <br />Preparerand /or Translator Certification <br />The Preparer and /or Translator Certification must be completed if the employee requires assistance to complete Section 1 <br />(e.g., the employee needs the instructions or responses translated, someone other than the employee fills out the <br />information blocks, or someone with disabilities needs additional assistance). The employee must still sign Section 1. <br />Minors and Certain Employees with Disabilities (Special Placement) <br />Parents or legal guardians assisting minors (individuals under 18) and certain employees with disabilities should review <br />the guidelines in the Handbook for Employers: Instructions for Completing Form I - -9 (M -174) on www.uscis gov/ <br />I- 9Central before completing Section 1. These individuals have special procedures for establishing identity if they cannot <br />present an identity document for Form I -9. The special procedures include (1) the parent or legal guardian filling out <br />Section I and writing "minor under age 18" or "special placement," whichever applies, in the employee signature block; <br />and (2) the employer writing "minor under age 18" or "special placement' under List B in Section 2. <br />roan I -9 Instructions 03/08/13 N <br />Page 2 of 9 <br />
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