The Form I-9 has two sections which need to be completed. Section One will be completed by you, the employee, and Section Two will be completed by your authorized representative. An authorized representative can be any one such as a family member, friend, roommate, neighbor, etc. as long as they are over the age of 18.
Fill out the information requested in Section One - Employee Information and Attestation of the Form I-9 as shown in the image to the right.
The following information must be provided:
Last Name
First Name
Middle Initial (If Applicable)
Other Last Names Used (If Applicable)
Address
City or Town
State
ZIP Code
Date of Birth
US Social Security Number
Email Address (Optional)
Phone Number (Optional)
Check a Box 1-4 Which Applies to You
Employee Signature
Today's Date (MM/DD/YYYY)
After completing Section One, review the List of Acceptable Documents and choose your document (one from List A) or documents (one from List B AND one from List C) to present to your authorized representative so they can complete Section Two and the I-9 Affidavit.
Fill out the information requested in Section Two – Employer or Authorized Representative Review and Verification of the Form I-9 as shown in the image to the right.
The following information must be provided:
Employee's Last Name
Employee's First Name
Employee's Middle Initial (If Applicable)
Citizenship/Immigration Status
Refer to the box selected in Section One and write the number
List A OR List B AND List C
Document Title
Issuing Authority
Document Number
Expiration Date (If Applicable)
Employee's First Day of Employment (MM/DD/YYYY)
Authorized Representative's Signature
Today's Date (MM/DD/YYYY)
Title of Employer or Authorized Representative
Please use Authorized Representative
Authorized Representative's Last Name
Authorized Representative's First Name
Employer's Business or Organization Name
Please use Vonage Holdings Corp
Employer's Business or Organization Address
Please use 101 Crawfords Corner Rd, Suite 2416
City or Town:
Please use Holmdel
State:
Please use NJ
ZIP Code:
Please use 07733
The authorized representative must be presented with a suitable document or combination of documents as described on the List of Acceptable Documents. Please be aware that the name, date of birth, and social security number (if listed) on the documents must match the information listed in Section One of the form.