Further Action Notice
U.S Department of Ho meland Security T entative Nonconfirmation (DHS TNC)
Employee’s Last Name, First Name Last Four D igits of E mployee’s S ocial Security Number
Employee's A-N umber Employee’s Document Number
Date of DHS T entative N onconfirmation
Case Verification N umber
Reason
for this
N
otic e:
EMPLOYER INSTRUCTIONS:
1. Review this Further Action Notice in private with the employee as soon as possible.
IM PORTANT: If the employee does not speak English as his or her primary language or has a limited
ability to read or understand the English language, also provide the employee with a translated version
of this Further Action Notice. Translated versions are available in the ‘View Essential Resources’
section of E-Verify. If the employee cannot read this document for some other reason, provide the
information in an alternative format.
2. Check that all of the information at the top of this Further Action Notice is correct. If this information is
incorrect, close this case in E-Verify and create a new case with the correct information.
3. Ask the employee to indicate whether he or she will contest the DHS Tentative Nonconfirmation (DHS
TNC) by signing and dating Page 2 of this Further Action Notice, and then sign and date below as the
employer.
4. Give the employee a copy of the signed Further Action Notice in English (and a translated version, if
appropriate) and attach the original to the employee’s Form I-9.
5. Log in to E-Verify and search for this case using the information above. Follow the instructions in
E-Verify to refer the case to DHS if the employee contests the TNC, or close the case if the employee
does not contest the DHS TNC. If the employee chooses not to contest the DHS TNC, you may
terminate his or her employment and close the case in E-Verify.
IM PORTANT: If the employee contests the DHS TNC, refer the case to DHS, print the Referral Date
Confirmation from E-Verify, provide it to the employee, and instruct the employee to contact DHS within
8 Federal Government working days as specified in the Referral Date Confirmation.
For Photo M ismatch ONLY
C
omplete this Further Action Notice and send a copy of it with a copy of the employee’s photo document to
DHS. Either attach and submit a digital copy of the photo document in E-Verify or send a paper copy to
DHS via an express shipping carrier of your choice. Do NOT send the copies through regular United
States Postal Service mail.
Express Shipping Ca rrie r Addres s
Attach and Submit E lectronically
U.S. Department of Homeland Sec urity- USCIS
10 Fo untai n Plaza, 3rd Floor
Buffalo, NY 14202
Attn: Status Verification Office - P hoto Matc hi ng
Make a digital copy of the employee’s photo document (e.g.
with a sc anner or a camera) and sav e it to yo ur comput er.
Then attac h and s ubmit t he copy i n E-Verif y.
Employer Signature and Date
I have notified this employee of the DHS Tentative Nonconfirmation and provided the employee with a copy of this Further Action Notice.
Employer’s Name Employer R epresentative’s N ame
Date Employer R epresentative’s S ignature
Page 1 of 3
| Further Action Notice - DHS TNC | Revision Date 07/17/13
www.dhs.gov/E-Verify