New Hire — W‑4 & I‑9 (Full) New Hire W‑4 & I‑9 Submission ID: W‑4 I‑9 Step 1: Personal Information First name Middle initial Last name Social Security Number Address City State ZIP Filing status Single or Married filing separately Married filing jointly Head of household Step 3: Dependents Children under 17 Other dependents Total credit (auto) We compute: children × $2,000 + other dependents × $500. Step 4: Other Adjustments (optional) 4(a) Other income 4(b) Deductions 4(c) Extra withholding Step 5: Sign Signature (type name) Date Submit W‑4 Section 1: Employee Information & Attestation Last Name First Name M.I. Other Last Names Address City State ZIP DOB SSN Email Phone Attestation — I am: U.S. citizen U.S. noncitizen national Lawful permanent resident Alien authorized to work If LPR: USCIS/A‑Number If authorized: Employment authorization expires Signature (type name) Date Section 2: Employer Review Employer/authorized representative completes after examining original documents. List A — Document title Issuing authority Document number Expiration date List B — Document title Issuing authority Document number Expiration date List C — Document title Issuing authority Document number Expiration date Employer attestation (name & title) Review date Business/Org Submit I‑9
