I-9 Form - Instructions For Nonresident On H-1b Or Tn Visa Page 5

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Sections 3
A. Enter new name (if applicable).
B. Enter the date of rehire (if applicable).
C1. Document Title – I-797 Receipt (or I-797C Notice of
Action)
C2. Document # - Enter Receipt Number.
C3. Expiration Date – Write 240 Day-ext. and date that petition was submitted to
USCIS.
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.
Submit the completed USCIS Form I-9 to Payroll Office, Box 359555

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