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Indian Health Service The Federal Health Program for American Indians and Alaska Natives


     Indian Health Manual
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Circular Exhibit 2009-01-A

This is not an exact replica of the original form I-9


LISTS OF ACCEPTABLE DOCUMENTS

 

LIST A
Documents that Establish Both
Identity and Employment
Eligibility          OR
LIST B
Documents that Establish
Identity
                             AND
LIST C
Documents that Establish
Employment Eligibility
  1. U.S. Passport (unexpired or expired)
  1. Driver's license or ID card issued by a state or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address.
  1. U.S. Social Security card issued by the Social Security Administration (other then a card stating it is not valid for employment.
     
  1. Permanent Resident Card or Alien Registration Receipt Card (Form I-551)
ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color and address.
 
  1. Certification of Birth Abroad issued by the Department of State (Form FS-545 or Form DS-1350)
     
  1. An unexpired foreign passport with a temporary I-551 stamp.
  1. School ID card with a photograph

     
  1. Original or certified copy of a birth certificate issued by a state, county, municipal authority or outlying possession of the United States bearing an official seal
  1. An unexpired Employment  Authorization Document that contains a photograph (Form I-766, I 688, I-688A, I-688B)
  1. Voter's registration card

     
  1. Native American tribal document

     
  1. An unexpired foreign passport with an unexpired Arrival-Departure Record, Form I-94, bearing the same name as the passport and containing an endorsement of the alien's nonimmigrant status, if that status authorizes the alien to work for the employee
  1. U.S. Military card or Merchant Member Card





     
  1. U.S. Citizen ID Card (Form I-97)





     
 
  1. Military dependant's ID Card
     
  1. ID Card for use of Resident Citizen in the United States (Form I-179)
 
  1. U.S. Coast Guard Merchant Mariner Card

     
  1. Unexpired employment authorization document issued by DHS (other than those listed under List A)
 
  1. Native American tribal documents
 
 
  1. Driver's license issued by a Canadian government authority
 
 

For persons under age 18 who are unable to present a document Listed above:
 

 
 
  1. School record or report card
 
 
  1. Clinic, doctor or hospital record
 
 
  1. Day-care or nursery school record
 

Illustration of any of these documents appear in Part 8 of the Handbook for Employers (M-274)


Form I-9 (06/05/07) N Page 2

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