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Division/Section Family Support Chapter No./Name 4 - Economic Stability (ES) Part No./Name B - Eligibility Factors Section No./Name B-200 Citizenship/Non-Citizen Status Document No./Name B-210-FITAP Eligibility Requirement/Citizenship Effective Date September 1, 2022

2 of 3 SOMEONE WHO KNOWS THE APPLICANT'S HISTORY AND OBTAIN AN AFFIDAVIT FROM THIS PERSON. THE AFFIDAVIT MUST STATE THAT

o THE SIGNER IS A U.S. CITIZEN,

o THE SIGNER KNOWS THAT THE APPLICANT IS A U.S. CITIZEN, OR A U.S. NATIONAL,

o THE SIGNER MAY BE FINED, IMPRISONED, OR BOTH IF HE GIVES FALSE INFORMATION.

ADVISE SIGNERS THAT THE AFFIDAVIT IS A SWORN STATEMENT AND THAT THEY SHOULD CERTIFY ONLY THOSE FACTS OF WHICH THEY HAVE PERSONAL KNOWLEDGE.

B-213-FITAP - PO DOCUMENTATION

DOCUMENT HOW CITIZENSHIP WAS VERIFIED AND THE REASON FOR EXCLUDING A PERSON IN LITE ON THE PERSON DEMOGRAPHICS – DETAILS CASE NOTE SCREEN.

DOCUMENT WHY THE CITIZENSHIP OF A PERSON IS QUESTIONABLE AND WHY VERIFICATION WAS REQUESTED IN LITE CASE NOTES.

II. PROCEDURES

B-211-FITAP - PR VERIFICATION

REVIEW VERIFICATION DOCUMENTS PROVIDED.

B-212-FITAP - PR DOCUMENT TO VERIFY QUESTIONABLE CITIZENSHIP

AFTER RECEIVING DOCUMENTS PROVIDED, REVIEW THE DOCUMENTS TO DETERMINE IF THE INDIVIDUAL IS A CITIZEN OF THE UNITED STATES.

IF THE HOUSEHOLD CAN PROVIDE A REASONABLE EXPLANATION FOR THE LACK OF VERIFICATION, THE STATE AGENCY MUST SEND THE HOUSEHOLD A FORM OFS 18C REQUESTING A SIGNED STATEMENT UNDER PENALTY OF PERJURY, FROM A THIRD PARTY INDICATING THE INDIVIDUAL IN QUESTION IS A U.S. CITIZEN OR A U.S. ** NATIONAL. THE SIGNED STATEMENT MUST CONTAIN A WARNING OF THE PENALTIES OF HELPING SOMEONE COMMIT FRAUD. INDICATE ON THE FORM OFS 18C ADVISING SIGNERS THAT THE AFFIDAVIT IS A SWORN STATEMENT AND THAT THEY SHOULD CERTIFY ONLY THOSE FACTS OF WHICH THEY HAVE PERSONAL KNOWLEDGE.

B-213-FITAP - PR DOCUMENTATION

*** * STAFF MUST DOCUMENT U.S. CITIZENSHIP, U.S. NATIONAL, OR ALIEN STATUS.