E-Verify Form

What is E-Verify? E-Verify is a free Internet-based system that allows employers to confirm the legal working status of new hires in seconds through the Social Security Administration and the Department of Homeland Security. With one click, E-Verify can match your new hire’s Social Security Number and other Form I-9 information. For more information on E-Verify click here.

This E-Verify Form should be used by Departments to notify University Human Resources of employees being assigned to work on a Federal Contract that incorporates the Employment Eligibility Verification Federal Acquisition Regulation. Please review UHR’s E-Verify procedures prior to submitting this form.

Note: This form does not replace the U.S. Federal Government E-Verify System. It should be used as preliminary notification that an I-9 of a newly hired employee will be forthcoming.

GENERAL INFORMATION

Date:

From:
Ext:

email:

Department:

EMPLOYEE INFORMATION

Last Name:
First Name: Middle Initial

Please Note: E-Verification must be initiated no later than ninety (90) calendar days from the date of contract award, or 30 days after assignment to initiate verification. Employees hired prior to November 6, 1986 are not subject to E-Verify.

Hire Date/Assignment Date to Contract:

Last updated: June 25, 2013