Proof of Citizenship & Identity
Proof of Citizenship & Identity
As of August 2006, when you declare that you are a U.S. Citizen as an MCHP applicant, a federal law requires you to provide proof of both your United States citizenship and your identity.
Documentation
There are specific documents that are considered acceptable proof citizenship and identity.
If you cannot obtain any acceptable documents to prove your citizenship, there are affidavits that must be completed and signed by two U.S. citizens. You or your authorized representative will also need to sign an affidavit to explain why you do not have any of the listed documents available to prove your citizenship.
Universally Accepted Documents
The following documents are accepted as proof of both citizenship and identity. If you were not born in the U.S. and were not a U.S. citizen at birth, you must provide one of these 3 documents:
- U.S. passport (current or expired);
- Certificate of Naturalization (N-550 or N-570); or
- Certificate of Citizenship (N-560 or N-561)
Other Acceptable Documents
If you cannot provide one of the above-mentioned documents, you will need to proved one document from each column below:
U.S. birth certificate
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Photo ID; driver’s license or MVA ID card, school ID, government ID
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Certificate of citizen born abroad:
DS-1350, FS-240, FS-545
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U.S. military ID card or draft record |
ID card for naturalized citizen living in Mexico or Canada; I-179 or I-197
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For children under 16 only: school record, nursery or daycare record, or written affidavit signed by parent or guardian (only acceptable if written statement was not used as proof of citizenship)
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Final adoption decree for child born in U.S.
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Evidence of U.S. civil service employment before 6/1/76
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Military service record showing U.S. place of birth
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For children under 16 only; record on hospital letterhead or other medical record, created near the date of birth and showing the U.S. place of birth (not including an immunization record)
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Federal or state census record for 1900-1950 showing U.S. citizenship or U.S. place of birth as well as age
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Record showing U.S. place of birth, if created at least 5 years before initial Medical Assistance or MCHP application: record on hospital letterhead or other medical record established at the time of birth; institutional admission papers; signed statement by physician or midwife who attended the birth; Vital Statistics official notice of birth registration; life, health or other insurance record
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