SENSITIVE BUT UNCLASSIFIED

Department of Homeland Security	Report Prepared:	07/02/2014
E-Verify	Page:	1 of 1

Case Verification Number:

2014183150326PY

Case Information:
Employee Information:
Last Name:	Henderson Anderson	First Name:	Gerard
Middle Initial:		Other Names Used:
Social Security Number:	* 3519	Date of Birth:	08/02/1991
Citizenship Status:	A citizen of the United States	Email Address:
Document Information:
List B Document:	Driver's license or ID card issued by a U.S. state or outlying possession	List C Document:	Social Security Card
Document Name:	ID card	Document State:	Illinois
Driver’s License or ID Card Number:		Document Expiration Date:	This document has no expiration date
Alien Number:		I-94 Number:
Additional Information:
Hire Date:	07/02/2014	Employer Case ID:
Three-Day Rule Reason:		Three-Day Rule - Other:
Submitted By:	KSIK1977	Submitted On:	07/02/2014

Initial Case Result:
Case Result:	Employment Authorized


Employee Referred to SSA:
Referred By:		Referred On:

Case Result from SSA (after SSA Tentative Nonconfirmation):
Case Result:		Response Date:

Resubmitted to SSA (after Review and Update Employee Data):
Last Name:		First Name:
Middle Initial:		Other Names Used:
Social Security Number:		Date of Birth:
Resubmitted By:		Resubmitted On:

Case Result from SSA (after Resubmission):
Case Result:

Request Name Review:
Comments:
Submitted By:		Submitted On:

Case Result from DHS (after DHS Verification in Process):
Case Result:		Response Date:

Employee Referred to DHS:
Referred By:		Referred On:

Case Result from DHS (after DHS Tentative Nonconfirmation):
Case Result:		Response Date:

Photo Matching Results:
Determination:

Employee Referred to DHS (Additional):
Referred By:		Referred On:

Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
Case Result:		Response Date:

Case Closure:
Closure Statement:	The employee continues to work for the employer after receiving an Employment Authorized result.
Closed By:	KSIK1977	Closed On:	07/02/2014

SENSITIVE BUT UNCLASSIFIED