Page 903

West Virginia Income Maintenance Manual Chapter 7

West Virginia Income Maintenance Manual Page 34 Chapter 7 Verification

Third Level Documents Explanation Extract of hospital record on hospital letterhead established at the time of the person’s birth and was created at least five years before the initial application date and indicates a U.S. place of birth Do not accept a souvenir birth certificate issued by the hospital. NOTE: For children under 16, the document must have been created near the time of birth or at least five years before the date of application. Life or health or other insurance record showing a U.S. place of birth and was created at least five years before the initial application date Life or health insurance records may show biographical information for the person including place of birth; the record can be used to establish U.S. citizenship when it shows a U.S. place of birth. Religious record created within three months after the birth The document, such as a baptismal certificate, must show a U.S. place of birth and either the date of birth or age at the time the record was created. This does not include entries in a family Bible. Early school record showing a U.S. place of birth The school record must show the admission date, the date of birth or age at the time the record was made, a U.S. place of birth, and the name(s) and place(s) of the birth of the applicant’s parents. 7.4.3.D Fourth Level Documents to Establish Citizenship Fourth level evidence of U.S. citizenship is of the lowest reliability. This level of evidence is only used when primary evidence is not available, or both secondary and third level evidence do not exist or cannot be obtained, and the applicant alleges a U.S. place of birth or naturalized citizenship status. In addition, a second document establishing identity must be presented as described in Section 7.4.3.E. The Worker must accept any of the documents listed in the chart below as fourth level evidence if the document meets the listed criteria, the applicant alleges U.S. citizenship, and there is no indication that the person is not a U.S. citizen. Fourth level evidence consists of documents established for a reason other than to establish U.S. citizenship and which show a U.S. place of birth. The U.S. place of birth on the document and the application must agree. The written affidavit is used only when unable to secure evidence of citizenship listed in any other chart.