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UPDATED: JUNE 2010

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OTHER ELIGIBILITY REQUIREMENTS CITIZENSHIP AND IMMIGRATION STATUS

CITIZENS

o Statement signed by the physician/midwife who was in attendance at the time of birth; or o Bureau of Indian Affairs Roll of Alaska Natives;

• Institutional admission papers from a nursing facility, skilled care facility or other institution (created at least 5 years before the application date) showing a U.S place of birth; or • Written affidavit (to be used only in rare instances). The affidavit must contain the following information under the following circumstances: o There must be at least two affidavits by two individuals who have personal knowledge of the event(s) establishing the applicant’s or recipient’s claim of citizenship. o The two affidavits can be combined in a joint affidavit. o At least one of the individuals making the affidavit cannot be related to the applicant or recipient. o The person(s) making the affidavit must be able to provide proof of his or her own citizenship and identity for the affidavit to be accepted. o The affidavit must also be signed under penalty of perjury by the person making the affidavit, but need not be notarized. A separate affidavit from the applicant/recipient or other knowledgeable individual (guardian or representative) explaining why documentary evidence does not exist or cannot be readily obtained must also be obtained.

Evidence that Establishes U.S. Citizenship for Collectively Naturalized Individuals

Puerto Rico • Evidence of birth in Puerto Rico on or after 4/11/1899 and the applicant’s or recipient’s (A/R’s) statement that he or she was residing in the U.S., a U.S. possession or Puerto Rico on 1/13/1941; or • Evidence that the A/R was a Puerto Rican citizen and the A/R’s statement that he or she was residing in Puerto Rico on 3/1/1917 and that he or she did not take an oath of allegiance to Spain. (MRG)