I-9 Supplement FRM TOC

TABLE OF CHANGES – FORM

Form I-9, Supplement, Section 1 Preparer and/or Translator Certification

OMB Number: 1615-0047

09/13/2022

Reason for Revision: Revision

Project Phase: OMBReview

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 10/31/2022

Edition Date 10/21/2019

Current Page Number and Section	Current Text	Proposed Text
Page 1, Employee Name	[Page 1] Employee Name: Last Name (Family Name) First Name (Given Name) Middle Initial	This entire supplement is being incorporated into the I-9 itself.
Page 1, Instructions	[Page 1] Instructions: This supplement may be used if extra spaces are required to document more than one preparer and/or translator assisting an employee in completing Section 1 of Form I-9. The preparer and/or translator must enter the employee's name in the spaces provided. Each preparer or translator must complete, sign and date a separate certification area. Employers must retain completed supplement sheets with the employee's completed Form I-9.	This entire supplement is being incorporated into the I-9 itself.
Page 1, (Attest)	[Page 1] I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct. Signature of Preparer or Translator Date (mm/dd/yyyy) Last Name (Family Name) First Name (Given Name) Address (Street Number and Name) City or Town State ZIP Code [Page 1] I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct. Signature of Preparer or Translator Date (mm/dd/yyyy) Last Name (Family Name) First Name (Given Name) Address (Street Number and Name) City or Town State ZIP Code I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct. Signature of Preparer or Translator Date (mm/dd/yyyy) Last Name (Family Name) First Name (Given Name) Address (Street Number and Name) City or Town State ZIP Code I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct. Signature of Preparer or Translator Date (mm/dd/yyyy) Last Name (Family Name) First Name (Given Name) Address (Street Number and Name) City or Town State ZIP Code	This entire supplement is being incorporated into the I-9 itself.

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