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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 Form I-9. 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 present either: 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. EMPLOYEE INFORMATION 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 (MONTH/DAY/YEAR)”) 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.
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