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
Social Security Administration Tentative Nonconfirmation (SSA TNC)
For SSA Field Office Staff: use EV STAR and see POMS RM 10245.005ff
Employee’s Last Name
Employee’s First Name
Employee's Social Security Number
Employee’s Month/Year of Birth
Date of SSA 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 looks like some of the
information that your employer entered into E-Verify does not match the records that SSA currently has
for you. This doesn’t necessarily mean you gave incorrect information to your employer. It also does not
mean you are not authorized to work in the United States. There are several reasons why your
information did not initially match and you can read more about those reasons at
www.e-verify.gov/employees/tentative-nonconfirmation-tnc-overview. 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 resolve this case. If your inf
ormation above is correct, then
you can choose to take action to correct your record so that SSA records reflect that you are
authorized to work in the United States.
If you decide not to take action to resolve this case, E-Verify w
ill be unable to confirm that you are
authorized to work in the United States and your employer can terminate your employment.
For information on employee rights and responsibilities visit www.e-ver
ify.gov/employees/employee-
rights-and-responsi
bilities.
Taking action to resolve a case:
You have 8 Federal Government working days to visit an SSA field office from the date your employer
Page 1 of 2 | Further Action Notice - SSA TNC | Revision Date 06/28/19
www.e-verify.gov
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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 visit SSA.
Visit SSA Field Office:
To take action to begin to resolve this case, you must visit an SSA field office to update your information.
If you live in an area where there is a SSA Card Center, you are required to visit the Card Center. To
locate an SSA office, visit www.socialsecurity.gov/locator or call SSA at 800-772-1213 (TTY: 800-325-
0778).
Bring this Further Action Notice when you visit SSA. Tell SSA that you have an E-Verify issue.
SSA cannot update your record without proof that a change is needed. Below are examples of documents
you may need to prove your age, identity, name change, and citizenship status. Bring original documents,
not photocopies:
• Proof of your age: a birth certificate or passport
• Proof of you identity: a driver’s license or passport
• Proof of a legal name change: a marriage certificate, if you current name is not on your SSN card
• Proof of a U.S. citizenship or work-authorized status:
o If a U.S. citizen – a Naturalization Certificate, U.S. public birth certificate, or U.S. passport,
or
o If you are not a U.S. citizen – a Permanent Resident Card (Form I-551), Employment
Authorization Document (Form I-766), or Arrival-Departure Record (Form I-94) showing
work-authorized status.
To check on the status of your case, visit myE-Verify 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.
Page 2 of 2 | Further Action Notice - SSA TNC | Revision Date 06/28/19
www.e-verify.gov
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Further Action Notice (USCIS)

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Completed 2 September 2021

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