The signup process is quick and easy. After submitting this form, you will sign the Memorandum of Understanding (MoU) online. The MoU is the agreement between you, us and the Department of Homeland Security. (More about signing in a minute...) You will receive a final email when your account has been activated. You can also request a rush signup (less than four hours) on the next page.
Legal Business Name*
"Doing Business As" (DBA) Name
The name of your corporate or parent company, if applicable:
Which category best describes your company's organization?*
Select Federal Govt Contractor State Govt Contractor Local Govt Contractor Federal Government State Government Local Government None of these categories apply.
Your Federal ID number (FEIN). Enter numbers only; no hyphens. If you do not have an FEIN (ex., sole proprietorship), you must use an Employer Identification Number (EIN). [Apply/receive an EIN online]*
Total number of employees including part-time and seasonal workers:*
Select 1-4 5-9 10-19 20-99 100-499 500-999 1000-2499 2500-4999 5000-9999 10000 and over
Number of offices in which I-9 forms are received and processed. If I-9 forms will be submitted for verification from more than one office (not job sites), select `Multiple Workplaces.`*
Select Single Workplace Multiple Workplaces
Your physical address:
Street Address* City, State, Zip* County or Parish*
Mailing address, if different:
Mailing Address City, State, Zip
Your main phone and fax numbers:
Primary Phone* Fax Number*
Name of the primary contact for the verification program. First and last name, please:
Primary Contact's email address. All verification responses and other notices will be sent to this address:
Billing contact email address for invoices, if different:
Primary Contact's phone and extension:
Please describe your organization or business purpose... services or products; consulting; city or county; etc. If you know your NAICS code, enter it:
How did you find out about us?
Select Google Search Other Online Search Google Ad Newspaper Article Friend or Co-worker Professional Referral Other
If you were referred by one of our client companies, please provide their company name so that we can thank them. If you found us in a newspaper or at a web site, please tell us which one:
Promo Code
By checking here, you indicate that you understand and accept the Terms and Conditions:
Enter the following characters (dark characters only) into the box to verify:
Problems? Call 888-933-8374 for help.
No start-up costs... No setup or enrollment fee, no monthly fee
No headaches... Verifying a new hire is as easy as sending a fax
No learning curve... Avoid the required tutorials & tests
Post Office Box 608 Grayson GA 30017 888-933-8374 Toll Free 866-681-3898 FAX E-Verify® Company ID #40133