Remote Hire Notary Request Date ________________ I, __________________________________, hereby acknowledge that I am remote hire for the University of Washington and have requested the services a notary public to act as an Authorized Agent of the University of Washington for the purpose of completing Section 2 of the Form I-9. I have confirmed with the hiring official in my department at the University of Washington that my hire date is ______________. I have provided this date and original documents for review as part of the completion of my Form I-9 by the Authorized Agent listed below. __________________________________ Name Subscribed and sworn to before me, this ________ day of ______________, _______ Notary Public_____________________________ My Commission expires_______________ _____________ Date