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Chapter 24 – Home Energy Assistance Program Page 7 of 33 If the documentation listed above is unavailable for the Primary Applicant or any Household Member, then Subgrantee may accept ONE document from each of the two lists (List A & List B) below to show U.S. Citizenship or U.S. Non-Citizen National status.

LIST A LIST B Social Security Card and Citizenship Attestation Form Driver’s license issued by a U.S. State or Territory

Consular Report of Birth Abroad (DS1350) Identification card issued by the Federal, state or local government Certification of Birth Abroad (FS-545) School identification card U.S. Citizen Identification Card (I-197)

Northern Mariana Card (I-873) U.S. Military card or draft record or Military dependent’s identification card Military record showing a U.S. place of birth U.S. Coast Guard Merchant Marnier card U.S. medical record from a clinic, hospital, physician, midwife or institution showing a U.S. place of birth Voter Registration Card

U.S. life, health or other insurance record showing U.S. place of birth Two other documents that prove your identity, like employer identification cards, high school or college diplomas, marriage certificates, divorce decrees, property deeds or titles

Religious record showing U.S. place of birth recorded in the U.S.

School record showing the child’s name and U.S. place of birth

Federal or State census record showing U.S. citizenship or U.S. place of birth

Final adoption decree or Record of Birth After Adoption showing the person’s name and U.S. place of birth

Document evidencing U.S. birth that includes the individual’s name, date of birth, and U.S. place of birth

Documentation of a foreign-born adopted child who received automatic U.S. Citizenship (IR3 or IH3)

Qualified Alien status may be verified using ONE of the following documents: Alien lawfully admitted for permanent residence:

Permanent Resident Card, “Green Card” (I-551); OR

Unexpired Temporary I-551 stamp in foreign passport or on INS Form I-94