CAPITAL TRUST NOTARY GROUP LLC I-9 EMPLOYMENT VERIFICATION REQUEST FORM (Sample Template) ===================================================== EMPLOYER INFORMATION ---------------------- Company Name: ____________________________________________ HR Contact Name: ____________________________________________ Phone / Email: ____________________________________________ EMPLOYEE(S) TO BE VERIFIED ---------------------------- 1. Name: ____________________ Location: _______________________ 2. Name: ____________________ Location: _______________________ 3. Name: ____________________ Location: _______________________ (attach additional sheet if verifying more than 3 employees) DEADLINE FOR COMPLETION: _______________________________________ DOCUMENTS EMPLOYEE SHOULD BRING (per Form I-9 List A, B & C): [ ] One document from List A (e.g. passport), OR [ ] One document from List B (e.g. driver's license) AND one document from List C (e.g. Social Security card) NOTES ------ _________________________________________________________________ ----------------------------------------------------------------- NOTE TO BUSINESS OWNER: This is a starter template. Replace with your finalized, branded form before distributing to clients. Always confirm current USCIS Form I-9 requirements before performing verifications.