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REV. MARCH 24, 2016 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-003

Employment Authorization Card – Form I-688, Form I-688A, Form I-688B, or Form I-766 FRONT: Blue and gray background with a red header bar at the top reading “United States of America Employment Authorization Card.” The person’s USCIS number, category code, country of origin, and date of birth are printed in the center. A laser-engraved fingerprint is found in the lower right-hand corner. The expiration date is on the front: month, day, and year.

BACK: White background with barcode across the top and a light blue bar across the middle. The USCIS insignia is printed on the upper left-hand corner next to a disclaimer that begins with “This card is not evidence of U.S. citizenship or permanent residence.” Three lines of machine readable printing are found at the bottom on white background.

Federally Recognized American Indian Tribes

In Nebraska:

1. Omaha Tribe of Nebraska; 2. Ponca Tribe of Nebraska; 3. Santee Sioux Nation, Nebraska (formerly the Santee Sioux Tribe of the Santee Reservation of Nebraska); and 4. Winnebago Tribe of Nebraska.

Tribes with Overlap into Nebraska:

1. Iowa Tribe of Kansas and Nebraska, and 2. Sac and Fox Nation of Missouri in Kansas and Nebraska.

For the complete list of federally recognized tribes, see 78 FR 26384.