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													<text fixtext="Form I-9, Employment">
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													<newline/>
													<text fixtext="Eligibility Verification">
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													<text fixtext="Department of Homeland Security">
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													<newline/>
													<text fixtext="U.S. Citizenship and Immigration Services">
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													<text fixtext="Read instructions carefully before completing this form. The instructions must be available during completion of this form.">
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													<text fixtext="Preparer and/or Translator Certification ">
														<styles font-size="8pt" font-weight="bold"/>
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													<text fixtext="(To be completed and signed if Section 1 is prepared by a person other than the employee.) I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct.">
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													<text fixtext="I&apos;m aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form.">
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													<text fixtext="ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) they will accept from an employee. The refusal to hire an individual because the documents have a future expiration date may also constitute illegal discrimination.">
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																			<datepicker/>
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													<template subtype="element" match="Address">
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															<template subtype="element" match="ZIP">
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																	<content subtype="regular"/>
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													<template subtype="element" match="Person">
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															<template subtype="element" match="SocialSecurity">
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													<text fixtext="Print Name:   Last"/>
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													<text fixtext="Address "/>
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													<text fixtext="Employee&apos;s Signature"/>
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													<text fixtext="Date"/>
													<text fixtext=" (month/day/year)">
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													<text fixtext="Social Security #"/>
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													<text fixtext="I attest, under penalty of perjury, that I am (check one of the following):"/>
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													<text fixtext="A citizen of the United States"/>
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													<text fixtext="Preparer&apos;s/Translator&apos;s Signature"/>
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													<text fixtext="Address "/>
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													<text fixtext="Date "/>
													<text fixtext="(month/day/year)">
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													<text fixtext="A noncitizen national of the United States (see instructions)"/>
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													<text fixtext="A lawful permanent resident (Alien #)"/>
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													<text fixtext="An alien authorized to work (Alien # or Admission #)"/>
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													<text fixtext="until (expiration date, if applicable - "/>
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												<styles height="0.13in" left="4.33in" overflow="hidden" padding="2px" position="absolute" top="1.76in" width="0.35in"/>
												<children>
													<text fixtext="Apt. #"/>
												</children>
											</textbox>
											<textbox autoresize="1" additional-width="0.1in">
												<styles height="0.13in" left="5.25in" overflow="hidden" padding="2px" position="absolute" top="1.41in" width="0.69in"/>
												<children>
													<text fixtext="Maiden Name"/>
												</children>
											</textbox>
											<textbox autoresize="1" additional-width="0.1in">
												<styles height="0.13in" left="5.25in" overflow="hidden" padding="2px" position="absolute" top="1.76in" width="1.43in"/>
												<children>
													<text fixtext="Date of Birth "/>
													<text fixtext="(month/day/year)">
														<styles font-style="italic"/>
													</text>
												</children>
											</textbox>
											<textbox autoresize="1" additional-width="0.1in">
												<styles height="0.13in" left="4.56in" overflow="hidden" padding="2px" position="absolute" top="1.41in" width="0.63in"/>
												<children>
													<text fixtext="Middle Initial"/>
												</children>
											</textbox>
											<shape subtype="line" from-x="3.49in" from-y="3.45in" to-x="3.49in" to-y="2.47in"/>
											<textbox additional-width="-0.53in">
												<properties class="EditCheck"/>
												<styles height="0.16in" left="3.58in" overflow="hidden" padding="2px" position="absolute" top="2.62in" width="0.16in"/>
												<children>
													<template subtype="element" match="Citizenship">
														<children>
															<template subtype="element" match="US-Alien">
																<children>
																	<condition>
																		<children>
																			<conditionbranch xpath="$SV_OutputFormat = &apos;Authentic&apos;">
																				<children>
																					<radiobutton checkedvalue="US">
																						<styles height="0.16in" padding="0px" vertical-align="middle" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</radiobutton>
																				</children>
																			</conditionbranch>
																			<conditionbranch>
																				<children>
																					<checkbox checkedvalue="US">
																						<styles height="0.16in" padding="0px" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</checkbox>
																				</children>
																			</conditionbranch>
																		</children>
																	</condition>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="-0.53in">
												<properties class="EditCheck"/>
												<styles height="0.16in" left="3.58in" overflow="hidden" padding="2px" position="absolute" top="2.80in" width="0.16in"/>
												<children>
													<template subtype="element" match="Citizenship">
														<children>
															<template subtype="element" match="US-Alien">
																<children>
																	<condition>
																		<children>
																			<conditionbranch xpath="$SV_OutputFormat = &apos;Authentic&apos;">
																				<children>
																					<radiobutton checkedvalue="US-non">
																						<styles height="0.16in" padding="0px" vertical-align="middle" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</radiobutton>
																				</children>
																			</conditionbranch>
																			<conditionbranch>
																				<children>
																					<checkbox checkedvalue="US-non">
																						<styles height="0.16in" padding="0px" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</checkbox>
																				</children>
																			</conditionbranch>
																		</children>
																	</condition>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="-0.53in">
												<properties class="EditCheck"/>
												<styles height="0.16in" left="3.58in" overflow="hidden" padding="2px" position="absolute" top="2.99in" width="0.16in"/>
												<children>
													<template subtype="element" match="Citizenship">
														<children>
															<template subtype="element" match="US-Alien">
																<children>
																	<condition>
																		<children>
																			<conditionbranch xpath="$SV_OutputFormat = &apos;Authentic&apos;">
																				<children>
																					<radiobutton checkedvalue="Resident">
																						<styles height="0.16in" padding="0px" vertical-align="middle" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</radiobutton>
																				</children>
																			</conditionbranch>
																			<conditionbranch>
																				<children>
																					<checkbox checkedvalue="Resident">
																						<styles height="0.16in" padding="0px" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</checkbox>
																				</children>
																			</conditionbranch>
																		</children>
																	</condition>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="-0.53in">
												<properties class="EditCheck"/>
												<styles height="0.16in" left="3.58in" overflow="hidden" padding="2px" position="absolute" top="3.17in" width="0.16in"/>
												<children>
													<template subtype="element" match="Citizenship">
														<children>
															<template subtype="element" match="US-Alien">
																<children>
																	<condition>
																		<children>
																			<conditionbranch xpath="$SV_OutputFormat = &apos;Authentic&apos;">
																				<children>
																					<radiobutton checkedvalue="Alien">
																						<styles height="0.16in" padding="0px" vertical-align="middle" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</radiobutton>
																				</children>
																			</conditionbranch>
																			<conditionbranch>
																				<children>
																					<checkbox checkedvalue="Alien">
																						<styles height="0.16in" padding="0px" width="0.16in"/>
																						<children>
																							<content subtype="regular"/>
																						</children>
																					</checkbox>
																				</children>
																			</conditionbranch>
																		</children>
																	</condition>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="-0.55in">
												<properties class="EditFieldSmall"/>
												<styles height="0.11in" left="5.51in" overflow="hidden" padding="2px" position="absolute" top="2.99in" width="1.64in"/>
												<children>
													<template subtype="element" match="Citizenship">
														<children>
															<template subtype="element" match="Resident-AlienNr">
																<children>
																	<content subtype="regular"/>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="-0.55in">
												<properties class="EditFieldSmall"/>
												<styles height="0.11in" left="6.13in" overflow="hidden" padding="2px" position="absolute" top="3.16in" width="1.02in"/>
												<children>
													<template subtype="element" match="Citizenship">
														<children>
															<template subtype="element" match="Alien-AlienNr">
																<children>
																	<content subtype="regular"/>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="-0.55in">
												<properties class="EditFieldSmall"/>
												<styles height="0.11in" left="6.13in" overflow="hidden" padding="2px" position="absolute" top="3.30in" width="1.02in"/>
												<children>
													<template subtype="element" match="Citizenship">
														<children>
															<template subtype="element" match="Alien-Until">
																<children>
																	<content subtype="regular">
																		<format basic-type="xsd" string="MM/DD/YYYY" datatype="date"/>
																	</content>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="0.86in">
												<properties class="EditField"/>
												<styles height="0.17in" left="4.70in" overflow="hidden" padding="2px" position="absolute" top="3.48in" width="0.97in"/>
												<children>
													<template subtype="element" match="Document">
														<children>
															<template subtype="element" match="Date">
																<children>
																	<content subtype="regular">
																		<format basic-type="xsd" string="MM/DD/YYYY" datatype="date"/>
																	</content>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="0.86in">
												<properties class="EditField"/>
												<styles height="0.17in" left="0.50in" overflow="hidden" padding="2px" position="absolute" top="4.16in" width="3.08in"/>
											</textbox>
											<textbox additional-width="0.86in">
												<properties class="EditField"/>
												<styles height="0.17in" left="3.80in" overflow="hidden" padding="2px" position="absolute" top="4.16in" width="2.87in"/>
												<children>
													<template subtype="element" match="Preparer">
														<children>
															<template subtype="element" match="Name">
																<children>
																	<content subtype="regular"/>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<textbox additional-width="0.86in">
												<properties class="EditField"/>
												<styles height="0.17in" left="0.50in" overflow="hidden" padding="2px" position="absolute" top="4.53in" width="4.50in"/>
												<children>
													<template subtype="element" match="Preparer">
														<children>
															<template subtype="element" match="Address">
																<children>
																	<content subtype="regular"/>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<shape subtype="line" from-x="3.74in" from-y="4.38in" to-x="3.74in" to-y="4.01in"/>
											<shape subtype="line" from-x="5.08in" from-y="4.75in" to-x="5.08in" to-y="4.37in"/>
											<textbox additional-width="0.86in">
												<properties class="EditField"/>
												<styles height="0.17in" left="5.13in" overflow="hidden" padding="2px" position="absolute" top="4.53in" width="0.97in"/>
												<children>
													<template subtype="element" match="Preparer">
														<children>
															<template subtype="element" match="Date">
																<children>
																	<content subtype="regular">
																		<format basic-type="xsd" string="MM/DD/YYYY" datatype="date"/>
																	</content>
																</children>
																<variables/>
															</template>
														</children>
														<variables/>
													</template>
												</children>
											</textbox>
											<shape subtype="line" from-x="0.05in" from-y="2.11in" to-x="7.24in" to-y="2.11in">
												<properties width="1px"/>
											</shape>
										</children>
									</layout-container>
								</children>
								<variables/>
							</template>
						</children>
						<variables/>
					</template>
				</children>
			</globaltemplate>
		</children>
	</mainparts>
	<globalparts/>
	<designfragments/>
	<xmltables/>
	<authentic-custom-toolbar-buttons/>
</structure>
