Employee lnfonnatlon and Attestation (Employees must complete and sign Section 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your Last Name, First Name, and Middle Initial. Ensure that all names match your official documents.
  3. Enter your Date of Birth in the format mm/dd/yyyy, followed by your Address, including Street Number, City, State, and Zip Code.
  4. Provide your U.S. Social Security Number and Email Address for communication purposes.
  5. In the attestation section, check the appropriate box that describes your citizenship status. If applicable, provide your Alien Registration Number or Form I-94 Admission Number.
  6. Sign and date the form at the bottom of Section 1 to validate your information.

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