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West Virginia Income Maintenance Manual Chapter 15

West Virginia Income Maintenance Manual Page 10 Chapter 15 Noncitizens, Refugees, and Citizenship

NO ASSIGNED NUMBER Order Granting Suspension of Deportation 15.2.2.B Methods of Documenting U.S. Citizenship The following documents may be used to verify U.S. citizenship of applicants when their noncitizen status is questionable: • Birth certificate. • Religious document, such as a baptismal record, recorded within three months of age and showing that the ceremony took place in the U.S. or its territories. The document must show either the date of birth or the individual’s age at the time the record was made. • U.S. passports; limited passports that are issued for periods of less than five years are not acceptable. • Form FS-240, Report of Birth Abroad of a Citizen of the U.S. • Form FS-545, Certificate of Birth. • I-197, U.S. Citizen I.D. Card. • N-550 or N-0570, Naturalization Certificate. • N-560 or N-561, Certificate of Citizenship. • Northern Mariana Identification Card issued by USCIS to a collectively naturalized citizen of the United States (U.S.) who was born in the Mariana Islands before November 3, 1996. • Current hospital record of birth in one of the 50 states, the District of Columbia, or Puerto Rico, on or after January 13, 1941; Guam, on or after April 10, 1899; the U.S. Virgin Islands, on or after January 17, 1917; American Samoa, Swains Island, or the Northern Mariana Islands, unless the person was born to foreign diplomats residing in such a jurisdiction. NOTE: See Section 7.4 for additional information regarding the requirements for documentary evidence of citizenship and identity for Medicaid.

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Page 1273

Official source

West Virginia Income Maintenance Manual Chapter 15

West Virginia Income Maintenance Manual Page 10 Chapter 15 Noncitizens, Refugees, and Citizenship

NO ASSIGNED NUMBER Order Granting Suspension of Deportation 15.2.2.B Methods of Documenting U.S. Citizenship The following documents may be used to verify U.S. citizenship of applicants when their noncitizen status is questionable: • Birth certificate. • Religious document, such as a baptismal record, recorded within three months of age and showing that the ceremony took place in the U.S. or its territories. The document must show either the date of birth or the individual’s age at the time the record was made. • U.S. passports; limited passports that are issued for periods of less than five years are not acceptable. • Form FS-240, Report of Birth Abroad of a Citizen of the U.S. • Form FS-545, Certificate of Birth. • I-197, U.S. Citizen I.D. Card. • N-550 or N-0570, Naturalization Certificate. • N-560 or N-561, Certificate of Citizenship. • Northern Mariana Identification Card issued by USCIS to a collectively naturalized citizen of the United States (U.S.) who was born in the Mariana Islands before November 3, 1996. • Current hospital record of birth in one of the 50 states, the District of Columbia, or Puerto Rico, on or after January 13, 1941; Guam, on or after April 10, 1899; the U.S. Virgin Islands, on or after January 17, 1917; American Samoa, Swains Island, or the Northern Mariana Islands, unless the person was born to foreign diplomats residing in such a jurisdiction. NOTE: See Section 7.4 for additional information regarding the requirements for documentary evidence of citizenship and identity for Medicaid.