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A username will be provided when you enroll in our verification program.
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E-Verify Services Info Request / Sign-Up

We welcome your inquiry about our service! Your submission of the following information is the first step in the signup process; however, submitting this form does not yet obligate you to anything. Upon processing of your inquiry, we will send a packet of information (by the method you choose - email, fax or mail) including rates and instructions for completing the signup process. You may also call us at 866-406-2297 (Atlanta 678-528-2121). (*These fields are required.)

Legal Business Name*
If you hire us, the info you submit will be used to create your E-Verify account. Please check for accuracy and completeness.
DBA Name
Federal ID Number*
If you do not have an ID number (ex., sole proprietorship), submit your Social Security number.
Number of Employees*
Total number of employees including part-time and seasonal workers
Workplaces*
Total number of worksites for which you need verification. This is not job-sites, but the number of offices in which I-9 forms are received and/or processed.
Physical Business Address*
This is your primary physical address.
City, State, Zip*
Mailing Address*
Mailing address
City, State, Zip*
County or Parish*
Phone*
 
Fax*
 
Contact Name(s)*
Name of the person who will be the primary contact for the verification program. First and last name, please
Email Address*
Primary contact's email address. All verification responses and other notices will be sent to this address
Contact Phone*
Contact's phone and/or extension
User Name
If you become our client, you will use this login info to access special client-only features at our site.
Password
Contact Method*
How do you want to receive the information that you have requested?

Reminder-- Submitting this info does not obligate you at all... it simply "jump starts" the process so that, if you hire Verify I-9, LLC, we can begin to serve you as soon as possible.

Enter the following characters into the box to verify:
  

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