Form Cca-1114a Forff - Contractor Eligibility Verification Page 2
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2CCA-1114A FORFF (4-17) – Page 2
LISTS OF ACCEPTABLE DOCUMENTS
(All documents must be unexpired)
LIST A
LIST B
LIST C
Documents that Establish
Documents that
Documents that Establish
OR
AND
Both Identity and
Establish Identity
Certification Eligibility
Certification Eligibility
1. U.S. Passport or U.S. Passport card
1. Driver’s license or ID card issued
1. A Social Security Account Number
by a State or outlying possession
card, unless the card includes one
2. Permanent Resident Card or
of the United States provided
of the following restrictions:
Alien Registration Receipt Card
it contains a photograph or
(1) NOT VALID FOR EMPLOYMENT
(Form I-551)
information such as name, date
(2) VALID FOR WORK ONLY WITH
of birth, gender, height, eye color,
3. Foreign passport that contains a
INS AUTHORIZATION
and address.
temporary I-551 stamp or temporary
(3) VALID FOR WORK ONLY WITH
I-551 printed notation on a machine-
2. ID card issued by federal, state
DHS AUTHORIZATION
readable immigrant visa
or local government agencies or
2. Certification of Birth Abroad issued
entities, provided it contains a
4. Employment Authorization Document
by the Department of State (Form
photograph or information such
that contains a photograph (Form
FS-545)
as name, date of birth, gender,
I-766)
height, eye color, and address
3. Certification of Report of Birth
5. For a nonimmigrant alien authorized
issued by the Department of State
3. School ID with a photograph
to work for a specific employer
(Form DS-1350)
because of his or her status:
4. Voter’s registration card
a. Foreign passport; and
4. Original or certified copy of birth
5. U.S. Military card or draft record
certificate issued by a State,
b. Form I-94 or Form I-94A that has
county, municipal authority, or
the following:
6. Military dependent’s ID card
territory of the United States
(1) The same name as the
7. U.S. Coast Guard Merchant
bearing an official seal
passport; and
Mariner Card
5. Native American tribal document
(2) An endorsement of the alien’s
8. Native American tribal document
nonimmigrant status as long
6. U.S. Citizen ID Card (Form I-197)
as that period of endorsement
9. Driver’s license issued by a
7. Identification Card for Use of
has not yet expired and the
Canadian government authority
Resident Citizen in the United
proposed employment is not
States (Form I-179)
in conflict with any restrictions
or limitations identified on
8. Employment authorization
the form.
document issued by the
Department of Homeland Security
6. Passport from the Federated States
of Micronesia (FSM) or the Republic
of the Marshall Islands (RMI) with
Form I-94 or Form I-94A indicating
nonimmigrant admission under
the Compact of Free Association
Between the United States and the
FSM or RMI
Equal Opportunity Employer/Program • Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VII), and the
Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of
1975, and Title II of the Genetic Information Nondiscrimination Act (GINA) of 2008; the Department prohibits discrimination
in admissions, programs, services, activities, or employment based on race, color, religion, sex, national origin, age,
disability, genetics and retaliation. To request this document in alternative format or for further information about this policy,
contact 602-542-4248; TTY/TDD Services: 7-1-1. • Free language assistance for DES services is available upon request.
Ayuda gratuita con traducciones relacionadas con los servicios del DES esta disponible a solicitud del cliente.
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