REPRESENTATIVE’S REMOTE HIRE NOTICE FORM INSTRUCTIONS
Instructions for the I-9 form
We are asking you to act as our representative to examine the identity and work
eligibility papers for a new University of Michigan employee. Because the U.S.
Citizenship and Immigration Services (USCIS) requires us to verify the right of our
employees to work in the U.S., we are asking you to serve as our representative in this
matter by examining the person’s paperwork for us and signing the attached USCIS
Please find attached the I-9 form, the I-9 instruction sheet, and the Remote Hire Notice
Form. Verify that the employee has completed section 1 of the I-9 form prior to
completing section 2. The employee must present to you suitable identification papers
as given on the “List of Acceptable Documents” page of the I-9 form. The employee can
1. Any one document from List A or
2. Two documents: one from List B (identity) and one from List C (work eligibility)
The section that we need you (our representative) to complete is “Section 2. Employer
Review and Verification.” There are spaces indicating which document or documents
were presented to you and their associated information. This includes the Document
Title, Issuing Authority, Document Number and Expiration Date (if any).
Please note: view only original documents; faxes, photocopies and laminated
social security cards are unacceptable documents.
We also need you to complete the Certification portion under Section 2 of the I-9
form. The employment begin date has been provided to you on the Remote Hire Notice
Form. Please complete the certification section as follows:
1. Enter the employee’s date of hire (see Remote Hire Notice Form);
2. Sign the Authorized Representative section;
3. Print your name, title and address in the spaces provided;
4. Date the form (enter the date you reviewed the employee’s documents).
On the Remote Hire Notice Form:
If a notary, please place your notary seal on the Remote Hire Notice Form or attach a
notary certificate to the document.
REMOTE HIRE NOTICE FORM
Employee Information and U-M hiring department information are to be
completed by the hiring department and emailed to HRRemoteI9@umich.edu.
NAME: LAST _________________________ FIRST _________________________M.I. ____
EMAIL ADDRESS: ____________________ PHONE NO. _________________________
EMPLOYEE’S START DATE __________________ (THIS DATE MUST BE ENTERED INTO THE
CERTIFICATION SECTION OF THE I-9 FORM “THE EMPLOYEE BEGAN EMPLOYMENT ON
UNIVERSITY OF MICHIGAN HIRING DEPARTMENT INFORMATION
DEPT CONTACT NAME ______________________________________________________________
DEPT CONTACT TITLE _______________________________________________________________
DEPT CONTACT PHONE NO. ( )__________________EMAIL ADDRESS_____________________
DEPT CONTACT ADDRESS: __________________________________________________________
AUTHORIZED REPRESENTATIVE INFORMATION – THIS SECTION IS TO BE COMPLETED
BY UNIVERSITY OF MICHIGAN HUMAN RESOURCES ONLY.
REPRESENTATIVE NAME ____________________________________________________________
REPRESENTATIVE ADDRESS _________________________________________________________
REPRESENTATIVE PHONE NO. ( )___________________________________________________
REPRESENTATIVE EMAIL ADDRESS: __________________________________________________
If NOTARY: PLACE NOTARY SEAL IN THIS SECTION OR ATTACH NOTARY CERTIFICATE.
NOTE: THIS FORM MUST BE COMPLETED AND GIVEN TO THE AUTHORIZED REPRESENTATIVE BEFORE
THE I-9 FORM IS COMPLETED. THIS WILL ENSURE THAT THE START DATE LISTED ON THE FORM IS
PROVIDED AND VERIFIED BY THE HIRING DEPARTMENT. IT IS THE EMPLOYEE’S RESPONSIBILITY TO
RETURN FORMS TO THE HIRING DEPARTMENT.