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Get This Form Cannot Be Used For Employees Hired Prior To September 6 ...

Utes Employee Name: Last First Middle Social Security Number: - - Date of Hire: Date of Birth (MM/DD/YYYY) In accordance with 8-2-122, C.R.S., within 20 days after hiring the new employee listed above, I affirm all four of the following by signing this form: 1. I have examined the legal work status of the above named employee. 2. I have retained file copies of the documents required by 8 U.S.C. sec. 1324a.

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