The University of Georgia

I-9 Form: Instructions for Nonresidents on J-1 Visa

Section 1. Employee Information and Verification (To be completed and signed by employee at the time employment begins).

1. Enter your name (last name first, same as shown exactly on your social security card).

2. Enter your maiden name (if applicable).

3. Enter your address (street name and number).

4. Enter City, State, and Zip Code.

5. Enter your date of birth (month/day/year).

6. Enter your U.S. social security number.

7. Check this box (that you are a foreign national) if you are not a citizen of the U.S. or a permanent resident (green card holder).

7a. Enter the date from your Form DS-2019 (formerly IAP-66) (U.S. Information Agency).

7b. Enter the departure number from your Form I-94 (Departure Record).

8. Employee should sign.

9. Enter the date that you completed this form.

10. To be completed and signed if Section 1 is prepared by a person other than the employee.

Section 2. Employer Review and Verification (To be completed and signed by employer or authorized representative). The following is an example of how to fill out the I-9 form when choosing from List A, #4 (unexpired foreign passport). Please note that for List A, you need to make only one choice of documentation. If you choose a document from List B, you must also examine a document from List C.

11. Document Title - Enter "PASSPORT."

12. Issuing Authority - Enter country that issued the passport.

13. Document Number - Enter the passport number.

14. Expiratoin date - Enter date the passport expires.

15. Document # - Enter the departure number from the Form I-94 (Departure Record).

16. Expiration date - Enter the end date from line 3 of Form DS-2019 (formerly IAP-66) (U.S. Information Agency).

If the individual is employed past this date, the I-9 will need to be reverified by completing Section 3 of the I-9.
Also, please verify that UGA is the sponsor on line 2 of Form DS-2019 (formerly IAP-66).

17. Enter the date that the employee began employment in the department.

18. Employer or authorized representative should sign.

19. Print name of employer or authorized representative.

20. Enter title of employer or authorized representative.

21. Enter departmental name, address (mailbox).

22. Enter the date.

Section 3. Updating and reverification. To be completed and signed by employer, if the employee is employed past the end date (number 3 of Form DS-2019).

A. Enter new name (if applicable).

B. Enter the date of rehire (if applicable).

C1. Document Title - Enter "DS-2019."

C2. Document # - Enter the departure number from Form I-94.

C3. Expiration Date - Enter the date from line 3 of Form DS-2019(formerly IAP-66).

D. Employer or authorized representative should sign.

E. Enter the date that employer or authorized representative completed Section 3.

Human Resources | University of Georgia

Revised 7/2/07