Fillable Further Action Notice (USCIS)

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Further Action Notice (USCIS)

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The Further Action Notice (USCIS) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

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U.S. Citizenship and Immigration Services (USCIS) is an office of the U.S. Branch of Homeland Security (DHS) that oversees the nation's naturalization and migration framework. It is a successor to the Immigration and Naturalization Service (INS), which was disintegrated by the Homeland Security Act of 2002 and supplanted by three segments inside the DHS: USCIS, Immigration and Customs Enforcement (ICE), and Customs and Border Protection (CBP).

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Further Action Notice
Tentative Nonconfirmation (TNC)
(U.S. Department of Homeland Security (DHS))
Employee’s Last Name, First Name
Employee’s Social Security Number
Employee's A-Number
Employee’s Document Number
Date of DHS Tentative Nonconfirmation
Case Verification Number
Reason for this
Notice:
Your employer, , participates in E-Verify. E-Verify compares the information
that you provided on your Form I-9 (Employment Eligibility Verification) with Social Security Administration
(SSA) and Department of Homeland Security (DHS) records to confirm that you are authorized to work in
the United States.
Why you received this notice:
You received this Further Action Notice from because it appears that some of
the information that your employer entered into E-Verify does not match the records that DHS currently
has for you. This does not necessarily mean you gave incorrect information to your employer, or that you
are not authorized to work in the United States. There are several reasons why your information may not
have matched – you can read more about those reasons
online (www.e-verify.gov/employees/tentative-
nonconfirmation-tnc-overview).
Next, you will need to take a few steps before E-Verify can let your employer know that you are
authorized to work in the United States.
What you need to do:
1. Review your information at the top of this page. Let know if there are
any errors. Your employer will be able to close this case and input your information in E-Verify again
with the correct information, hopefully resolving this case. If your information is correct, move to step
2.
2. Decide if you want to take action to re
solve this case. If your information above is correct, then
you can choose to take action to correct your record so that DHS records reflect that you are
authorized to work in the United States.
If you decide not to take action to resolve this case, E-Ver
ify will be unable to confirm that you are
authorized to work in the United States and your employer can terminate your employment.
For
informa tio n !on !emplo ye e !rig h ts !a n d !re s po n s ib ilitie s visit www.e-verify.gov/employees/employee-
rights-and-responsibilities.
| Further Action Notice - DHS TNC | Revision Date 06/22/18 www.e-verify.gov
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Taking action to resolve a case:
You have 8 Federal Government working days to contact DHS from the date your employer sends your
case in E-Verify. Your employer must give you a Referral Date Confirmation, which will tell you the date
by which you must contact DHS.
Contact DHS:
To take action to re
solve this case, call DHS at 888-897-7781 (TTY: 800-877-8339). A representative will
help you work through the details of your case.
Have this Further Action Notice open when you call DHS, so that you can refer to it. The DHS
repre
sentative may ask you for additional information or documents to resolve your case. If you need help
in another language, be sure to ask for an interpreter.
Contact your St
ate Motor Vehicles Agency (if instructed by DHS):
If you provided your employer a stat
e driver’s license or state identification card and DHS was unable to
resolve your case, you may need to contact the state motor vehicles agency that issued your driver’s
license or state identification card.
To check on the status of your case, visit myE-Veri
fy at https://myeverify.uscis.gov/.
Please indicate below whether or not you intend to dispute this case.
I choose to: (check one)
I will take action to resolve this E-Verify case. I understand that I have until ____ to take action.
I will not take action to resolve this E-Verify case. I understand that if I do not take action E-Verify will be
unable to confirm that I am authorized to work in the United States and my employer may terminate my
employment.
Employee’s Signature
Date
Report Discrimination
To report employment discrimination based upon your citizenship, immigration status, or national origin,
contact the Department of Justice, Civil Rights Division, Immigrant and Employee Rights Section (IER) at
800-255-7688 (TTY:800-237-2515). For more information, visit IER’s website at www.justice.gov/ier.
| Further Action Notice - DHS TNC | Revision Date 06/22/18 www.e-verify.gov
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Further Action Notice (USCIS)

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Completed 31 March 2021

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