{"id":844,"date":"2022-04-09T07:19:39","date_gmt":"2022-04-09T07:19:39","guid":{"rendered":"https:\/\/ccstampa.com\/?page_id=844"},"modified":"2023-03-10T01:05:41","modified_gmt":"2023-03-10T06:05:41","slug":"irs-i9-form","status":"publish","type":"page","link":"https:\/\/ccstampa.com\/irs-i9-form\/","title":{"rendered":"IRS i9 Form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-margin-top:40px;--awb-margin-bottom:40px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"300\" height=\"47\" title=\"Construction Contractor Services\" src=\"https:\/\/ccstampa.com\/wp-content\/uploads\/2022\/05\/logo-1-300x47.png\" alt class=\"img-responsive wp-image-1024\" srcset=\"https:\/\/ccstampa.com\/wp-content\/uploads\/2022\/05\/logo-1-200x31.png 200w, https:\/\/ccstampa.com\/wp-content\/uploads\/2022\/05\/logo-1-400x62.png 400w, https:\/\/ccstampa.com\/wp-content\/uploads\/2022\/05\/logo-1-600x93.png 600w, https:\/\/ccstampa.com\/wp-content\/uploads\/2022\/05\/logo-1.png 664w\" sizes=\"(max-width: 640px) 100vw, 300px\" \/><\/span><\/div><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_chrome gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>CCS Online Application including IRS Form I-9, Form W-4, TRION<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/wp-json\/wp\/v2\/pages\/844' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_6_165\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_165\" ><h2 class=\"gsection_title\">IRS Form I-9 | Employment Eligibility Verification<\/h2><\/li><li id=\"field_6_119\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_119\" >Please read the IRS Form I-9 Employment Eligibility Verification instructions carefully before completing this form. Click here to download the <a href=\"http:\/\/localhost\/ccs2\/wp-content\/uploads\/2016\/01\/irs-i-9.pdf\" target=_blank\">IRS Form I-9 instructions<\/a>.<br \/><br \/>\n<b>ANTI-DISCRIMINATION NOTICE:<\/b> It is illegal to discriminate against work-authorized individuals. Employers CANNOT\nspecify which document(s) they will accept from an employee. The refusal to hire an individual because the documents have a\nfuture expiration date may also constitute illegal discrimination.<\/li><li id=\"field_6_120\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_120\" ><h2 class=\"gsection_title\">Section 1. Employee Information and Attestation  (Employees must complete and sign Section 1 of Form I-9 no later  than the  first day of employment , but not before accepting a job offer.)<\/h2><\/li><li id=\"field_6_121\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_121\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_6_121'>\n                            \n                            <span id='input_6_121_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_121.3' id='input_6_121_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_121_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_121_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_121.6' id='input_6_121_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_121_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_6_121_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_121.8' id='input_6_121_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_121_8' class='gform-field-label gform-field-label--type-sub '>Middle Initial<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_6_122\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_122\" ><label class='gfield_label gform-field-label' for='input_6_122'>Other Names Used (if any)<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_6_122' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_373\" class=\"gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_373\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_373' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_373_1_container' >\n                                        <input type='text' name='input_373.1' id='input_6_373_1' value=''    aria-required='false'    \/>\n                                        <label for='input_6_373_1' id='input_6_373_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_6_373_2_container' >\n                                        <input type='text' name='input_373.2' id='input_6_373_2' value=''     aria-required='false'   \/>\n                                        <label for='input_6_373_2' id='input_6_373_2_label' class='gform-field-label gform-field-label--type-sub '>Apt #<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_373_3_container' >\n                                    <input type='text' name='input_373.3' id='input_6_373_3' value=''    aria-required='false'    \/>\n                                    <label for='input_6_373_3' id='input_6_373_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_373_4_container' >\n                                        <select name='input_373.4' id='input_6_373_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_6_373_4' id='input_6_373_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_373_5_container' >\n                                    <input type='text' name='input_373.5' id='input_6_373_5' value=''    aria-required='false'    \/>\n                                    <label for='input_6_373_5' id='input_6_373_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_373.6' id='input_6_373_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_6_128\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_128\" ><label class='gfield_label gform-field-label' for='input_6_128'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_128' id='input_6_128' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_128_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_128_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_128' class='gform_hidden' value='https:\/\/ccstampa.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_168\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_168\" ><label class='gfield_label gform-field-label' for='input_6_168'>U.S. Social Security Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_168' id='input_6_168' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_130\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_130\" ><label class='gfield_label gform-field-label' for='input_6_130'>Email Address<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_130' id='input_6_130' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_131\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_131\" ><label class='gfield_label gform-field-label' for='input_6_131'>Telephone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_131' id='input_6_131' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_132\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_132\" ><h2 class=\"gsection_title\">I am 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.<\/h2><\/li><li id=\"field_6_133\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_133\" ><label class='gfield_label gform-field-label' >I attest, under penalty of perjury, that I am (check one of the following):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_133'>\n\t\t\t<li class='gchoice gchoice_6_133_0'>\n\t\t\t\t<input name='input_133' type='radio' value='A citizen of the United States' checked='checked' id='choice_6_133_0'    \/>\n\t\t\t\t<label for='choice_6_133_0' id='label_6_133_0' class='gform-field-label gform-field-label--type-inline'>A citizen of the United States<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_133_1'>\n\t\t\t\t<input name='input_133' type='radio' value='A noncitizen national of the United States  (See instructions)'  id='choice_6_133_1'    \/>\n\t\t\t\t<label for='choice_6_133_1' id='label_6_133_1' class='gform-field-label gform-field-label--type-inline'>A noncitizen national of the United States  (See instructions)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_133_2'>\n\t\t\t\t<input name='input_133' type='radio' value='A lawful permanent resident'  id='choice_6_133_2'    \/>\n\t\t\t\t<label for='choice_6_133_2' id='label_6_133_2' class='gform-field-label gform-field-label--type-inline'>A lawful permanent resident<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_133_3'>\n\t\t\t\t<input name='input_133' type='radio' value='An alien authorized to work until'  id='choice_6_133_3'    \/>\n\t\t\t\t<label for='choice_6_133_3' id='label_6_133_3' class='gform-field-label gform-field-label--type-inline'>An alien authorized to work until<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_134\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_134\" ><label class='gfield_label gform-field-label' for='input_6_134'>Alien Registration Number\/USCIS Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_134' id='input_6_134' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_135\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_135\" ><label class='gfield_label gform-field-label' for='input_6_135'>Expiration date, if applicable<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_135' id='input_6_135' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_135_date_format gfield_description_6_135\" aria-invalid=\"false\" \/>\n                            <span id='input_6_135_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_135' class='gform_hidden' value='https:\/\/ccstampa.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_6_135'>Some aliens may write \"N\/A\" in this field. If so, leave this field blank. (See instructions)<\/div><\/li><li id=\"field_6_136\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_136\" ><label class='gfield_label gform-field-label' >Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: An Alien Registration Number\/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_136'>\n\t\t\t<li class='gchoice gchoice_6_136_0'>\n\t\t\t\t<input name='input_136' type='radio' value='I will provide Alien Registration Number\/USCIS Number'  id='choice_6_136_0'    \/>\n\t\t\t\t<label for='choice_6_136_0' id='label_6_136_0' class='gform-field-label gform-field-label--type-inline'>I will provide Alien Registration Number\/USCIS Number<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_136_1'>\n\t\t\t\t<input name='input_136' type='radio' value='I will provide Form I-94 Admission Number'  id='choice_6_136_1'    \/>\n\t\t\t\t<label for='choice_6_136_1' id='label_6_136_1' class='gform-field-label gform-field-label--type-inline'>I will provide Form I-94 Admission Number<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_136_2'>\n\t\t\t\t<input name='input_136' type='radio' value='I will provide a Foreign Passport Number'  id='choice_6_136_2'    \/>\n\t\t\t\t<label for='choice_6_136_2' id='label_6_136_2' class='gform-field-label gform-field-label--type-inline'>I will provide a Foreign Passport Number<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_137\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_137\" ><label class='gfield_label gform-field-label' for='input_6_137'>Alien Registration Number\/USCIS Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_6_137' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_138\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_138\" ><label class='gfield_label gform-field-label' for='input_6_138'>Form I-94 Admission Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_6_138' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_139\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_139\" ><label class='gfield_label gform-field-label' >Did you obtain your admission number from CBP in connection with your arrival in the United  States<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_139'>\n\t\t\t<li class='gchoice gchoice_6_139_0'>\n\t\t\t\t<input name='input_139' type='radio' value='Yes'  id='choice_6_139_0'    \/>\n\t\t\t\t<label for='choice_6_139_0' id='label_6_139_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_139_1'>\n\t\t\t\t<input name='input_139' type='radio' value='No'  id='choice_6_139_1'    \/>\n\t\t\t\t<label for='choice_6_139_1' id='label_6_139_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_140\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_140\" ><label class='gfield_label gform-field-label' for='input_6_140'>Please enter your Foreign Passport Number<\/label><div class='ginput_container ginput_container_text'><input name='input_140' id='input_6_140' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_141\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_141\" ><label class='gfield_label gform-field-label' for='input_6_141'>Country of Issuance<\/label><div class='ginput_container ginput_container_text'><input name='input_141' id='input_6_141' type='text' value='' class='medium'  aria-describedby=\"gfield_description_6_141\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_6_141'>Some aliens may write \"N\/A\" on the Foreign Passport Number and Country of Issuance fields. (See instructions)<\/div><\/li><li id=\"field_6_142\" class=\"gfield gfield--type-signature gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_142\" ><label class='gfield_label gform-field-label' for='input_6_142'>Signature of Employee<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_6_142_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_6_142_valid' id='input_6_142_valid' \/><canvas id='input_6_142' width='600' height='180'><\/canvas><\/div><\/div><div class='gfield_description' id='gfield_description_6_142'><font color=\"red\"><b>If you are on a mobile device, turn your device to display a larger signature area.<\/b><\/font><\/div><\/li><li id=\"field_6_143\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_143\" ><label class='gfield_label gform-field-label' for='input_6_143'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_143' id='input_6_143' type='text' value='04\/23\/2024' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_143_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_143_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_143' class='gform_hidden' value='https:\/\/ccstampa.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_144\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_144\" ><h2 class=\"gsection_title\">Preparer and\/or Translator Certification<\/h2><\/li><li id=\"field_6_298\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_298\" ><i><strong> To be completed and signed if Section 1 is prepared by a person other than the  employee.<\/strong><\/i><\/li><li id=\"field_6_145\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_145\" >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.<\/li><li id=\"field_6_146\" class=\"gfield gfield--type-signature field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_146\" ><label class='gfield_label gform-field-label' for='input_6_146'>Signature of preparer or translator<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_6_146_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_6_146_valid' id='input_6_146_valid' \/><canvas id='input_6_146' width='600' height='180'><\/canvas><\/div><\/div><div class='gfield_description' id='gfield_description_6_146'><font color=\"red\"><b>If you are on a mobile device, turn your device to display a larger signature area.<\/b><\/font><\/div><\/li><li id=\"field_6_147\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_147\" ><label class='gfield_label gform-field-label' for='input_6_147'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_147' id='input_6_147' type='text' value='04\/23\/2024' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_147_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_6_147_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_147' class='gform_hidden' value='https:\/\/ccstampa.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_6_148\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_148\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_6_148'>\n                            \n                            <span id='input_6_148_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_148.3' id='input_6_148_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_148_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_6_148_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_148.4' id='input_6_148_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_148_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_6_148_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_148.6' id='input_6_148_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_148_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_6_149\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_149\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_149' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_149_1_container' >\n                                        <input type='text' name='input_149.1' id='input_6_149_1' value=''    aria-required='false'    \/>\n                                        <label for='input_6_149_1' id='input_6_149_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_6_149_3_container' >\n                                    <input type='text' name='input_149.3' id='input_6_149_3' value=''    aria-required='false'    \/>\n                                    <label for='input_6_149_3' id='input_6_149_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_149_4_container' >\n                                        <select name='input_149.4' id='input_6_149_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_6_149_4' id='input_6_149_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_6_149_5_container' >\n                                    <input type='text' name='input_149.5' id='input_6_149_5' value=''    aria-required='false'    \/>\n                                    <label for='input_6_149_5' id='input_6_149_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_149.6' id='input_6_149_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' value='Submit Application'  onclick='if(window[\"gf_submitting_6\"]){return false;}  if( !jQuery(\"#gform_6\")[0].checkValidity || jQuery(\"#gform_6\")[0].checkValidity()){window[\"gf_submitting_6\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_6\"]){return false;} if( !jQuery(\"#gform_6\")[0].checkValidity || jQuery(\"#gform_6\")[0].checkValidity()){window[\"gf_submitting_6\"]=true;}  jQuery(\"#gform_6\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsIjRmMTAzMTFhYWI4ODIwMWY0YzkzODcxYjg5ZjQ4NTlkIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/ccstampa.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/ccstampa.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = 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*\/\n<\/script>\n<\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"blank.php","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/pages\/844"}],"collection":[{"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/comments?post=844"}],"version-history":[{"count":14,"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/pages\/844\/revisions"}],"predecessor-version":[{"id":1391,"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/pages\/844\/revisions\/1391"}],"wp:attachment":[{"href":"https:\/\/ccstampa.com\/wp-json\/wp\/v2\/media?parent=844"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}