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| Employee Information: |
| Last Name: |
Sobota |
First Name: |
Zbigniew |
| Middle Initial: |
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Maiden Name: |
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| Social Security Number: |
*** ** 4486 |
Date of Birth: |
06/19/1957 |
| Citizenship Status: |
A citizen of the United States |
Email Address: |
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| Document Information: |
| List A Document: |
U.S. Passport or Passport Card |
| Passport or Passport Card Number: |
468084380 |
Document Expiration Date: |
05/09/2020 |
| Alien Number: |
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I-94 Number: |
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| Additional Information: |
| Hire Date: |
08/13/2013 |
Employer Case ID: |
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| Three-Day Rule Reason: |
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Three-Day Rule - Other: |
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| Submitted By: |
IRIV9240 |
Submitted On: |
08/13/2013 |
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| Case Result: |
Employment Authorized |
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Employee Referred to SSA:
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| Referred By: |
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Referred On: |
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Case Result from SSA (after SSA Tentative Nonconfirmation):
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| Case Result: |
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Response Date: |
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Resubmitted to SSA (after Review and Update Employee Data):
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| Last Name: |
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First Name: |
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| Middle Initial: |
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Maiden Name: |
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| Social Security Number: |
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Date of Birth: |
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| Resubmitted By: |
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Resubmitted On: |
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Case Result from SSA (after Resubmission):
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| Case Result: |
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| Comments: |
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| Submitted By: |
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Submitted On: |
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Case Result from DHS (after DHS Verification in Process):
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| Case Result: |
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Response Date: |
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Employee Referred to DHS:
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| Referred By: |
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Referred On: |
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Case Result from DHS (after DHS Tentative Nonconfirmation):
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| Case Result: |
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Response Date: |
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| Determination: |
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Employee Referred to DHS (Additional):
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| Referred By: |
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Referred On: |
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Case Result from DHS (after Additional DHS Tentative Nonconfirmation):
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| Case Result: |
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Response Date: |
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| Closure Statement: |
The employee continues to work for the employer after receiving an Employment Authorized result.
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| Closed By: |
IRIV9240
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Closed On: |
08/13/2013
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