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U.S. DEPARTMENT OF HOMELAND SECURITY
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Supplement B,
Reverification and Rehire (formerly Section 3)
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Department of Homeland Security
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U.S. Citizenship and Immigration Services
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USCIS
Form I-9
Supplement B
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OMB No. 1615-0047
Expires 07/31/2026
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Last Name (Family Name) from Section 1. ___
First Name (Given Name) from Section 1. ___
Middle initial (if any) from Section 1. ___
Instructions: This supplement replaces Section 3 on the previous version of Form I-9. Only use this page if your employee requires reverification, is rehired within three years of the date the original Form I-9 was completed, or provides proof of a legal name change. Enter the employee's name in the fields above. Use a new section for each reverification or rehire. Review the Form I-9 instructions before completing this page. Keep this page as part of the employee's Form I-9 record. Additional guidance can be found in the Handbook for Employers: Guidance for Completing Form I-9 (M-274)
Date of Rehire (if applicable)
Date (mm/dd/yyyy) ___
New Name (if applicable)
Last Name (Family Name) ___
First Name (Given Name) ___
Middle Initial ___
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.
Document Title ___
Document Number (if any) ___
Expiration Date (if any) (mm/dd/yyyy) ___
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it.
Name of Employer or Authorized Representative ___
Signature of Employer or Authorized Representative ___
Today's Date (mm/dd/yyyy) ___
Additional Information (Initial and date each notation.) ___
[] Check here if you used an alternative procedure authorized by DHS to examine documents.
Date of Rehire (if applicable)
Date (mm/dd/yyyy) ___
New Name (if applicable)
Last Name (Family Name) ___
First Name (Given Name) ___
Middle Initial ___
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.
Document Title ___
Document Number (if any) ___
Expiration Date (if any) (mm/dd/yyyy) ___
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it.
Name of Employer or Authorized Representative ___
Signature of Employer or Authorized Representative ___
Today's Date (mm/dd/yyyy) ___
Additional Information (Initial and date each notation.) ___
[] Check here if you used an alternative procedure authorized by DHS to examine documents.
Date of Rehire (if applicable)
Date (mm/dd/yyyy) ___
New Name (if applicable)
Last Name (Family Name) ___
First Name (Given Name) ___
Middle Initial ___
Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below.
Document Title ___
Document Number (if any) ___
Expiration Date (if any) (mm/dd/yyyy) ___
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it.
Name of Employer or Authorized Representative ___
Signature of Employer or Authorized Representative ___
Today's Date (mm/dd/yyyy) ___
Additional Information (Initial and date each notation.) ___
[] Check here if you used an alternative procedure authorized by DHS to examine documents.
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Form I-9 Edition 08/01/23
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Page 4 of 4
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