Employee form
Owen Fischer
CompleteI-9 employment eligibility
I-9 employment eligibility
This intake record does not replace the official W-4 or I-9. Complete the original in your employer's designated system; your manager must verify it before this task can finish.
- Section 1 signed on
- 2023-04-03
- Citizenship or immigration status on your I-9
- U.S. citizen
- Work authorization expires
- —
- My work authorization has no expiration date
- No
Manager verification
- Documents examined
- A List B and a List C document (driver's license and Social Security card)
- Document titles
- Colorado driver's license; Social Security card
- Section 2 completed on
- 2023-04-05
- Examined by
- Maria Reyes
- Original form record reference
- I-9 binder, Castle Rock office, locked cabinet: Fischer, Owen
- I verified the completed official form in our designated records system
- Yes
Submission history
- Sept. 21, 2026, 1:35 p.m. · dana.whitfield@frontrange-roofing.example Sept. 21, 2026, 1:35 p.m. · dana.whitfield@frontrange-roofing.example · Approved Download submitted copy