IMMIGRATION LAW COMPLIANCE
CONFIRMATION REQUEST:
AFFIDAVIT OF ALABAMA IMMIGRATION COMPLIANCE
Vendor Information
Name:

Address:				
	Street Address		Suite/Unit #	

City	State	ZIP Code
Phone:	(	)	Alternate Phone: (       )

Please Read the attached Immigration Notice and Select one (1) of the Following:	

•	The Alabama Immigration Law DOES NOT apply to the above named company. Please explain:
•	The Alabama Immigration Law DOES apply to the above named company and the documents are on file with
•	The Alabama Immigration Law DOES apply to the above named company and the AFFIDAVIT OF ALABAMA IMMIGRATION COMPLIANCE DOCUMENTS are ATTACHED with the Bid Response
The documents are available at www.mcpss.com/immigrataion and www.dhs.gov/e-verify
Employee Signature	Date