I-9 Form - Instructions For Nonresident On H-1b Or Tn Visa Page 4

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 Confirm that the University of Washington is the sponsoring institution that obtained USCIS
approval for visa classification.
 If the individual is employed past this date, the I-9 will need to be reverified. See reverification
instructions below.
Section 2. Certification
27. Enter the first date that the employee began employment in the department.
28. Employer or authorized representative should sign.
29. Enter the date.
30. Enter title of employer or authorized representative.
31. Print name (Last name and First name) of employer or authorized representative.
32. Enter UW and name of department.
33. Enter departmental address (mailbox #).
34. Enter name of City.
a. Enter State
b. Enter Zip Code
Submit the USCIS Form I-9 and the UW Form 1007 along with required copies of documents (picture
page of passport, I-94 Departure Record or I-797 Notice of Action) to the Payroll Office. Box 359555
Section 3 Reverification and Rehires
Employers or their authorized representative should complete Section 3 when reverifying that an employee is authorized
to work.
(To be completed, signed and dated by employer or authorized representative, if the employee is employed past the end
date (stamped on Form I-94).
If Section 3 is required to be completed, you must use the new Form I-9. You must also fill out the Section 1 with employee’s
name (Last, First, and Middle initial) submit both pages to be a valid Form I-9 for reverification.
Section 1
1. Enter employee’s full legal last name, first name, and middle initial.
Sections 3
A. Enter new name (if applicable).
B. Enter the date of rehire (if applicable).
C1. Document Title - Enter H-1B or TN.
C2. Document # - Enter the departure number from Form I-94 (Departure record).
C3. Expiration Date - Enter the “until” end date from the I-94 Form (Departure
Record).
D. Employer or authorized representative should sign.
E. Enter the date that employer or authorized representative completed Section 3.
F. Print name of employer or authorized representative.
Complete Section 3 of Form I-9 involving the 240-Day Rule (in the process of petition for extension H-1B)
Section 1
1. Enter employee’s full legal last name, first name, and middle initial.

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