4.2 Employees with Disabilities (Special Placement)
Certain employees may have a physical or mental impairment which substantially limits one or more of their major life activities and are placed in jobs by a nonprofit organization, association, or as part of a rehabilitation program. Employees in this category who present a List A document or a combination of List B and C documents must complete Form I-9 as described in Section 4.0, Completing Section 2 of Form I-9. If these employees are unable to present a List B document, they may establish identity under List B similar to minors, as shown in Figure 5. These employees must still present a List C document.
E-Verify Note: If you participate in E-Verify, representatives of a nonprofit organization, association, or rehabilitation program; parents; and legal guardians cannot establish identity for an employee with disabilities as described above. This employee must present either a List A document , or a combination of a List B document that contains a photograph and a List C document.
The representative of the nonprofit organization, association, or rehabilitation program; or the parent or legal guardian of the employee with a disability completes Section 1 and enters “Special Placement” in the Signature of Employee field and dates the form.
The same representative, parent, or legal guardian completes the Preparer and/or Translator Certification block.
At the top of Section 2, enter the employee’s last name, first name, and middle initial exactly as it appears in Section 1. Enter the number that correlates with the citizenship or immigration status box the employee selected in Section 1.
Enter “Special Placement” under List B and enter information about the List C document that the employee presents.
Enter the date employment began.
The employer or authorized representative signs and dates Section 2 in the spaces provided to attest to physically examining the documents the employee presented. Also enter title, last name, first name, and employer’s business or organization name.
Enter the business’s street address, city or town, state and ZIP code.