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OMB No. 1615-0047; Expires 03/31/07 U.S. …

INSTRUCTIONSAnti-Discrimination Notice. It is illegal to discriminate against any individual (other than an alien not authorized to work in the ) inhiring, discharging, or recruiting or referring for a fee because of that individual's national origin or citizenship status. It is illegal todiscriminate against work eligible individuals. Employers CANNOT specify which document(s) they will accept from an employee. Therefusal to hire an individual because of a future expiration date may also constitute illegal 1- Employee. All employees, citizens andnoncitizens, hired after November 6, 1986, must complete Section 1of this form at the time of hire, which is the actual beginning ofemployment.

A citizen or national of the United States Please read instructions carefully before completing this form. The instructions must be available during completion

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Transcription of OMB No. 1615-0047; Expires 03/31/07 U.S. …

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