Guardian Key Roles

Corporate Financial Services - Payroll Services

Initial Information Gathering for Guardian Key Roles

Organization ■

Requestor's name: ■

Requestor's email: ■

Use of E-Verify ■

The individuals listed below use E-Verify
The individuals listed below DO NOT use E-Verify

Scanners ■

The number of Lexmark scanners our department foresees ordering:

Responsible Party for Guardian OVERSIGHT:

Name:

Dept.:

Email:

Phone:

Guardian Coordinator LEAD (Dashboard Review):

Name:

Dept.:

Email:

Phone:

Guardian Coordinator BACKUP (Dashboard Review):

Name:

Dept.:

Email:

Phone:

Guardian PROCESSOR 1 (Current I-9 Signer)

Name:

Dept.:

Email:

Phone:

Guardian PROCESSOR 2 (Current I-9 Signer)

Name:

Dept.:

Email:

Phone:

Guardian PROCESSOR 3 (Current I-9 Signer)

Name:

Dept.:

Email:

Phone:

Guardian PROCESSOR 4 (Current I-9 Signer)

Dept.:

Name:

Email:

Phone:

Guardian PROCESSOR 5 (Current I-9 Signer)

Name:

Dept.:

Email:

Phone:

Guardian PROCESSOR 6 (Current I-9 Signer)

Name:

Dept.:

Email:

Phone:

Note:

If additional space is needed because you have more than one area or need space for more than two “I-9 Coordinators” and six “I-9 Processors,” please fill out another form and mark the page in the comment box, i.e., page 1, 2, 3, etc.

Comments:

rev: 03/25/15