Employment Work Rights Application

Employment Work Rights Application

Recitals

WHEREAS the Applicant seeks consideration for employment with the Employer and the Employer requires verification that the Applicant is legally authorized to work in the applicable jurisdiction; and

WHEREAS the Applicant must provide truthful documentation and attestations concerning identity and work authorization and consents to verification of such documentation; and

WHEREAS the parties acknowledge that knowingly providing false information on this application may result in refusal of employment, termination, or legal penalties.

Applicant Information

Position and Scope

Citizenship and Work Authorization Status

Please select all statuses that apply and provide supporting document information below.

Work Authorization Documents

List the identity and employment authorization documents you will present for verification. Employer may request originals for inspection and retain copies in accordance with applicable law.

Certifications and Authorizations

I certify, under penalty of perjury, that the information provided on this application and any attached documentation is true, complete, and correct to the best of my knowledge. I understand that falsification, omission, or misrepresentation of any information may be grounds for refusal of employment or termination of employment if discovered after hire.

I authorize the Employer and its agents to examine, copy, and verify any documentation provided and to contact issuing authorities, past employers, and other third parties as necessary to validate my identity, employment authorization, and the statements made in this application. I understand that the Employer will handle such information in accordance with applicable privacy laws and internal policies.

I acknowledge that presentation of acceptable identity and work authorization documents is a condition of employment and that failure to provide requested documentation timely may result in withdrawal of any employment offer or termination.

Employer Verification (For Employer Use)

Confidentiality and Data Use

Information collected on this application, including sensitive personal data and copies of identity documents, will be retained only as necessary for employment eligibility verification and in accordance with applicable law and the Employer's data retention policy. The Employer will limit access to such information to personnel with a legitimate business need.

Governing Law and Agreement

This application, the certifications contained herein, and any verification activities undertaken by the Employer shall be governed by the substantive laws of the applicable jurisdiction where the position is located, without regard to conflict-of-law principles. Submission of this application does not constitute an employment contract unless and until a written employment agreement is executed.

Entire Agreement: This application, together with any attachments and employer policies specifically incorporated in writing, constitutes the entire understanding between the Applicant and the Employer with respect to verification of work authorization and supersedes all prior oral or written representations related to such verification.

Acknowledgment

By signing below, I acknowledge that I have read and understand the statements, consents, and certifications contained in this Employment Work Rights Application. I certify that I am authorized to sign on my own behalf and that the information provided is complete and correct.

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