Employee Visa Confirmation

EMPLOYEE VISA CONFIRMATION

Purpose: This Employee Visa Confirmation documents the employee's current immigration and work authorization status, confirms receipt of supporting documentation, and establishes the employee's obligation to notify the employer of any change in status. The employee certifies accuracy of the information below and authorizes the employer to verify immigration documents and employment eligibility.

Personal Information

Visa and Passport Details

Visa Type:    Visa Number:

Issuance Date:    Expiration Date:

Passport Number:    Passport Country of Issue:

Passport Expiration Date:

Yes    No

Employment Information

Reporting Manager:    Proposed Start Date:

Employment History (Most Recent 2 Employers)

Education

References (Professional)

Legal Disclosures and Notices

At-Will Employment: Unless otherwise provided in a separate written agreement signed by an authorized representative of the employer, employment is at-will and may be terminated by either the employee or the employer at any time, with or without cause or notice.

Equal Opportunity: The employer maintains an equal opportunity policy. Decisions related to hiring, compensation, and employment are made without regard to race, color, religion, sex, national origin, age, disability, or any other status protected by law.

Authorization and Certification

By signing below, I certify under penalty of termination that the information provided on this form is true, complete, and accurate. I acknowledge that any material misrepresentation or omission regarding my immigration status, visa, passport, or authorization to work may result in disciplinary action up to and including termination of employment.

I authorize the employer and its designated representatives to review, copy, and retain my immigration and identity documents, to contact issuing authorities and previous employers for verification, and to perform checks necessary to confirm work authorization. I agree to notify the employer immediately of any change in my immigration status, visa validity, passport expiration, or work authorization.

I understand that the employer must employ individuals only for the period authorized by law and by the employee's visa or authorization document; the employer's obligations are limited to compliance with applicable immigration and employment authorization laws.

I authorize the employer to conduct employment verification and background checks consistent with applicable law.

Employer Confirmation (Human Resources)

HR Representative:    Department:

Passport copy    Visa copy    Supporting evidence (e.g. approval notice)

HR confirms that copies of the above documents were reviewed and retained in the employee's personnel file consistent with employer recordkeeping practices. HR will notify the employee and the hiring manager of any issues affecting work authorization.

Acknowledgment

I acknowledge receipt of this Employee Visa Confirmation and understand my responsibilities and the employer's obligations described herein.

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