E-Verify Request
This form is to submit E-Verify Requests for Newly Hired Employees or Existing Employees.

E-Verify Employees that are Newly Hired, must:
Complete Tracker I-9 prior to E-verify process.
E-Verify must be completed within 3 business days from the date of hire.

Key*
Employee = Newly Hired Employee or Existing Employee
Departmental Contact = the person submitting this form

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Newly Hired Employee or Existing Employee *
Date of Hire *
MM
/
DD
/
YYYY
Tracker ID
Empl ID (UCPath ID)
University ID (UCLA)
Employee Last Name *
Employee First Name *
Employee Middle Initial
Employee Email Address *
E-Verify Fund Number *
Enter 5 digit E-Verify Fund Number or "TBD"
Department Code *
Enter 4 digit department code
Department Contact Name *
Enter your name
Department Contact Phone Number *
Enter your phone number
Department Contact Email Address *
Enter your email address
Submit
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