I-9 Service Request

I-9 Service Request

Use this form to schedule an authorized representative to complete Section 2 of the federal Form I-9 for remote employment verification. This service does not include notarization unless specifically required by your employer.
Submission Date

MonthDayYear
Date
Who is completing this form
Name

First NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
fbbnotary@gmail.com
Company Name
Name of Company requesting service.
Company Phone
Company Email
Company Contact Person
Your client's Name (For Internal Reference Only)

First NameLast Name
Your Client's Phone ( Helps with scheduling)
Your Clients Email (Helps with scheduling)
cw_client_name
cw_company_name
RC Mode (Hidden)
RC Mode: {rc_mode}
Select/Input Other Services being Requested
Give us more details so we may best serve you:
Service Location
Service Address
Travel Fee
Travel Fee Calculated
Please Re-Type FULL service Address
please input service address again to ensure accuracy.
I-9 Appointment
Fee to Schedule
Required at least 2 hours before appointment to avoice forfeiting appointment. Deducted from full service fee.
How would you like to pay?
Override
Approved Fee
Credit Card Scheduling Fee
Venmo Scheduling Fee
Scheduling Fee Due
Venmo Total Due
Credit Card Total Due
Service Estimate Total
White Rose Notary Services LLC
Stripe