First Name: *

Middle Name:

Last Name: *

Date of Birth: * ex. MM-DD-YYYY

SSN: * ex. XXX-XX-XXXX

Company or DBA:

Tax ID or EIN: ex. XX-XXXXXXX

Email: *

Confirm Email: *

Password

Cannot contain your first or last name.
Must be at least 8 characters in length.
Must contain a number, special character, upper case letter, and lower case letter.

Password: *

Confirm Password: *

Cell Phone: * ex. XXX-XXX-XXXX

Alt Phone: ex. XXX-XXX-XXXX

Physical

Address: *

City: *

State: *

Zip: *

Same as Physical

Mailing

Address: *

City: *

State: *

Zip: *

Referred By: *

Are you a US citizen? *

Yes No

Are you authorized to work in the United States? *

Yes No

Upload Proof (VISA..ect) *

Click here to download and review document.

I agree

Please check 'I agree' at the bottom of each disclosure after reviewing.

Signature *

ACH Deposit Information

Dragon Financial is hereby authorized to directly deposit my pay to the account listed above. This authorization will remain in effect until I modify or cancel it in writing.

Account Name: *

Account Type: *

Account Number: *

Routing Number: *

W-9 Information

Click here to download and review document.

1 Name (as shown on your income tax return)

2 Business name/disregarded entity name, if different from above

3 Check appropriate box for federal tax classification; check only one of the following seven boxes:

Individual/sole proprietor or single-member LLC

C Corporation

S Corporation

Partnership

Trust/estate

Limited Liability company. Enter the tax classification (C=C Corporation, S=S Corporation, P=Partnership)

Other (see instructions)

4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

5 Address (number, street, and apt. or suite no.)

6 City, state, and ZIP code

7 List account number(s) here (optional)

I-9 Information

Click here to download and review document.

Employee Signature *

Preparer Signature *

Click here to download and review document.

Employment Eligibility Verification

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS Form I-9

OMB No. 1615-0047

Expires 10/31/2022

►START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form.

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.

Section 1. Employee Information and Attestation

(Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.)

Last Name (Family Name)

First Name (Given Name)

Middle initial

Other last names used (if any)

Address (Street Number and Name)

Apt. Number

City or Town

State

ZIP Code

Date of Birth (mm/dd/yyyy)

U.S. Social Security Number

Employee's E-mail Address

Employee's Telephone Number

I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form.

I attest, under penalty of perjury, that I am (check one of the following boxes):

1. A citizen of the United States

2. A noncitizen national of the United States (See instructions)

3. A lawful permanent resident

(Alien Registration Number/USCIS Number):

4. An alien authorized to work

until (expiration date, if applicable, mm/dd/yyyy):

Some aliens may write "N/A" in the expiration date field. (See instructions)

Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:

An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.

1. Alien Registration Number/USCIS Number:

OR

2. Form I-94 Admission Number:

OR

3. Foreign Passport Number:

County of Issuance:

Employee Signature *

Today's Date (mm/dd/yyyy):

Preparer and/or Translator Certification (check one):

I did not use a preparer or translator A preparer(s) and/or translator(s) assisted the employee in completing Section 1.

(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.

Preparer Signature *

Today's Date (mm/dd/yyyy):

Last Name (Family Name)

First Name (Given Name)

Address (Street Number and Name)

City or Town

State

ZIP Code

Congratulations!

Welcome to DFS! You are now connected to multiple opportunities to help your client base. You will receive a welcome email shortly with further instructions.