Page 97

Birth Certificate A U.S. public birth certificate showing birth in one of the 50 States, the District of Columbia, Puerto Rico (if born on or after January 13, 1941), Guam (on or after April 10, 1899), the Virgin Islands of the U.S. (on or after January 17, 1917), American Samoa, Swain’s Island, or the Northern Mariana Islands (after November 4, 1986). The birth record document may be recorded (previously 'issued') by the state, commonwealth, territory, or local jurisdiction. Note: A Puerto Rican birth certificate used to verify U.S. citizenship of anyone applying for health care benefits must have been issued on or after July 1, 2010. Older birth certificates that were used to verify citizenship for persons when they previously applied for any IM program before October 1, 2010, are still considered valid. U.S. birth record amended more than 5 years after person’s birth An amended U.S. public birth certificate showing birth in one of the 50 States, the District of Columbia, Puerto Rico (if born on or after January 13, 1941), Guam (on or after April 10, 1899), the Virgin Islands of the U.S. (on or after January 17, 1917), American Samoa, Swain’s Island, or the Northern Mariana Islands (after November 4, 1986). Must show a U.S. birthplace. Acquired citizenship through parent(s) as outlined in the Child Citizenship Act 2000 (CCA) An individual demonstrates that s/he has gained his/her U.S. Citizenship through the Child Citizenship Act of 2000. US Citizen ID Card or Northern Mariana Card U.S. Citizen ID Card

The Immigration and Naturalization Service (INS) issued the I-179 and the I-197 from 1960 until 1983 to naturalized U.S. citizens living near the Canadian or Mexican border who needed it for frequent border crossings.

Northern Mariana Card Form I-873. Issued by INS for those born in the Northern Mariana Islands before November 4, 1986. State or Federal census record Must show birthplace and citizenship. Census records from 1900 through 1950 contain certain citizenship information. To secure this information, the applicant, member, or State should complete a Form BC-600, Application for Search of Census Records for Proof of Age. Add in the remarks portion “U.S. citizenship data requested.” Also add that the purpose is for Medicaid eligibility. This form requires a fee. Education Document The school record must show a U.S. birthplace and the name of the child. Evidence of civil service employment by U.S. government The document must show employment by the U.S. government before June 1, 1976. Persons employed with the U.S. Government prior to that date had to be U.S. citizens. Hospital record Extract of a hospital record on hospital letterhead established at the time of the person’s birth and that indicates a U.S. place of birth. This is not a souvenir “birth certificate” issued by the hospital.