How to complete the I-9 form
How to complete the I-9 form
Prepared by the Greater NJ Annual Conference, Council on Finance and Administration June 2010
Christian
Christina
A.
123 Church Street Cokesbury
Wesley 1/1/1966
NJ
08833
000-00-0000
x
Christina A. Christian
Provide employee’s information; SSN is optional
Check the appropriate box In our example, Christina is a US Citizen
07/01/2010
Have the employee sign and date the form
This portion is only to be filled out if someone other than the employee completes Section I
Examine the list A or list B & C documents provided and list the “Document Title”, “Issuing Authority”, “Document #” and “Expiration Date” as appropriate.
US Passport US Department of State C00001234 05/10/2011
07/01/2010
Provide current date
John S. Doe St. Luke UMC, 222 Main St., Hope, NJ 00777
John S. Doe
Pastor 07/01/2010
Sign this section, print name, provide title of person signing the document, church name & address and signature date. Either the Pastor or PPR/SPRC Chair may sign the form as the employer, except that the PPR Chair should sign the Pastor’s form.
Prepared by the Greater NJ Annual Conference, Council on Finance and Administration June 2010
Christian
Christina
A.
123 Church Street Cokesbury
Wesley 1/1/1966
NJ
08833
000-00-0000
x
Christina A. Christian
Provide employee’s information; SSN is optional
Check the appropriate box In our example, Christina is a US Citizen
07/01/2010
Have the employee sign and date the form
This portion is only to be filled out if someone other than the employee completes Section I
Examine the list A or list B & C documents provided and list the “Document Title”, “Issuing Authority”, “Document #” and “Expiration Date” as appropriate.
US Passport US Department of State C00001234 05/10/2011
07/01/2010
Provide current date
John S. Doe St. Luke UMC, 222 Main St., Hope, NJ 00777
John S. Doe
Pastor 07/01/2010
Sign this section, print name, provide title of person signing the document, church name & address and signature date. Either the Pastor or PPR/SPRC Chair may sign the form as the employer, except that the PPR Chair should sign the Pastor’s form.
