Page 2
ENERGY PROGRAMS UNITED STATES CITIZENSHIP
2 Section 175 Change #1-2011 December 1, 2011 4. Certificates of Citizenship or Naturalization issued by the US Citizenship and Immigration Services (USCIS); or
5. U. S. Passport (except limited passports issued for periods of less than five years); or
6. Report of birth abroad of a U.S. citizen (FS-240) issued by the Department of State to a U.S. citizen; or
7 Verification of receipt of Work First (if Work First verified citizenship); or
8. Social Security Administration Records; or
9. Certificate of Naturalization (N-550 or N-570). The N-570 is a replacement certificate issued when the N-550 has been lost or the individual’s name has been changed; or
10. Certificate of birth (FS-545) issued by a foreign service post or Certification of Report of Birth (DS-1350) issued by the Department of State; or
11. Certificate of Citizenship (N-560 or N-561) issued by the USCIS to individuals who derive citizenship through a parent. The N-561 is a replacement certificate issued when the N-560 has been lost or the individual’s name changed; or
12. United States Citizen Identification Card (I-197) issued by the USCIS until April 7, 1983, to U.S. citizens living near the Canadian or Mexican border who needed it for frequent border crossings. The I-179 was issued prior to the I-197 until February 1974; or
13. Northern Mariana Identification Card issued by the USCIS to a naturalized citizen of the U.S. born in the Northern Mariana Islands before November 3, 1986; or
14. Statement provided by a U.S. consular officer certifying that the individual is a U.S. citizen who does not have a FS-240, FS-545, or DS-1350; or
15. American Indian Card with a classification code of “KIC” and a statement on the back identifying U.S. citizen members of the Texas Band of Kickapoos living near the U.S./Mexican border; or
16. Two of the following:
a. School records, b. Bible records, c. Hospital, physician, or health department records, d. Court records, e. United States census, f. Witnessed statement from an individual who has specific knowledge about the birth of the person whose citizenship is in question. The statement must include:
(1) Name of the persons whose citizenship is in question, (2) Date of birth, (3) Place of birth, (4) Relationship, if any, to the person whose citizenship is in question, (5) Basis of the individual's knowledge.