How to Fill Out Affirmation of Legal Work Status

Affirmation of Legal Work Status at a glance

What it is: Affirmation of Legal Work Status Pursuant to § 8-2-122, Colorado Revised Statutes: within 20 calendar days after hiring the new employee listed, the employer affirms by signing this form.

Where and when to file: The form must be completed within 20 calendar days after hiring each employee.

A filled-in Affirmation of Legal Work Status example: an employer affirms a new hire

Affirmation of Legal Work Status example filled out, example: an employer affirms a new hire
Dana Sample, a Colorado employer, completes this affirmation for one new employee. She hired the employee on 03/07/2016 and signs on 03/18/2016, within 20 calendar days of hire. The picture shows the filled form; every value in it is made up.

How to fill out Affirmation of Legal Work Status, box by box

Employee Name, Date of Birth, Social Security Number and Date of Hire

Affirmation of Legal Work Status example filled out, employee Name, Date of Birth, Social Security Number and Date of Hire

Enter the Employee Name, Last, First and Middle, then the Date of Birth, the Social Security Number and the Date of Hire (MM/DD/YYYY).

Do not leave blank or incomplete the Employee name and date of hire (Month/Day/Year), or the Employer name, signature, and date of employer signature (Month/Day/Year).

Employer name, title, signature, date signed, business and phone

Affirmation of Legal Work Status example filled out, employer name, title, signature, date signed, business and phone

The employer, not the employee, is responsible for filling out and completing the form in a timely fashion. The form may be completed by the employer's designee or representative.

Enter the Print Name of Employer (or Designated Representative), the Official Title, the Date Signed by Employer (MM/DD/YYYY), the Business or Organization Name and the Employer Phone Number. Sign on the Signature of Employer (or Designated Representative) line.

More rules for Affirmation of Legal Work Status

The 09/01/14 version of the form must be used for all Colorado employees hired between October 1, 2014 and October 1, 2017.

This form cannot be used for employees hired prior to September 1, 2014.

The form's Revision Date is 09/01/14 and its Expiration Date is 10/01/17.

By signing this form: (1) I have examined the legal work status of the named employee. (2) I have retained file copies of the documents required by 8 U.S.C. sec. 1324a. (3) I have not altered or falsified the employee's identification documents. (4) I have not knowingly hired an unauthorized alien.

Forms must be retained by the employer for the duration of the employee's employment. The employer shall keep a written or electronic copy of the affirmation, and of the documents required by 8 U.S.C. sec. 1324a, for the term of employment of each employee.

The employer must provide accurate and complete information on the form.

If the employer has not properly completed the affirmation form within 20 calendar days of hiring the employee, or has not made and retained copies of employee identity and employment authorization documentation within 20 calendar days of hiring the employee: DO NOT complete an affirmation form for the affected employee(s). The employer cannot complete a valid form once the 20 calendar days have elapsed since hire. DO NOT backdate or otherwise enter incorrect information onto the form for the affected employee(s). The employer must not enter false or fraudulent information onto the form.

Common questions about Affirmation of Legal Work Status

Where do I file it?

The employer must produce copies of the form to the Colorado Division of Labor upon request, but does not have to submit forms absent a request.

Is there a penalty?

The provision of false or fraudulent information on this form may subject the employer to a significant fine and/or additional penalties.

Sources

[1] Affirmation of Legal Work Status, Pursuant to § 8-2-122, Colorado Revised Statutes, Colorado Division of Labor (the Official source link on this page).

Affirmation Legal Work Status Form PDF Details

The Affirmation of Legal Work Status form is required under Colorado's Employment Verification Law (§ 8-2-122, C.R.S.) for all public and private employers in the state. Enacted on January 1, 2007, this law requires every employer to affirm the legal work status of each employee hired on or after that date.

Who must complete this form: All Colorado employers, regardless of size or industry, must submit an Affirmation of Legal Work Status for each new hire. This includes both public agencies and private businesses. Staffing agencies and contractors also bear responsibility for their placed workers.

Filing deadline: Employers must complete and retain the affirmation within 20 calendar days of a new employee's start date. The signed form must be kept on file and be available for inspection by the Colorado Department of Labor and Employment (CDLE).

Acceptable verification documents: Employers may use a Colorado driver's license, a U.S. passport, a Permanent Resident Card (Green Card), an Employment Authorization Document, or other documents listed on the federal Form I-9. The employment verification form package can supplement this documentation.

Penalties for non-compliance: Failure to file or retain the affirmation can result in fines under state law. Repeated violations may lead to suspension of business licenses. Employers should also retain records alongside their other employment forms for at least three years after the hire date.

This form works alongside federal Form I-9 requirements. For related state documentation, see the Additional Work Authorization form.

QuestionAnswer
Form NameAffirmation Legal Work Status Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesColorado Affirmation of Legal Work Status, Colorado Employment Verification Affirmation