Microsoft Word citizenship and alien status statement doc
Yüklə 59,54 Kb. Pdf görüntüsü
|
| ARIZONA STATEMENT OF CITIZENSHIP AND ALIEN STATUS FOR STATE LICENSING OR CERTIFICATION Arizona Department of Health Services Division of Licensing Services
Title IV of the Federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (the "Act"), 8 U.S.C. § 1621, provides that, with certain exceptions, only United States citizens, United States non-citizen nationals, non-exempt "qualified aliens" (and sometimes only particular categories of qualified aliens), nonimmigrants, and certain aliens paroled into the United States are eligible to receive state or local public benefits. With certain exceptions, a professional license and commercial license issued by a State agency is a State public benefit.
Arizona Revised Statutes § 1-501 requires, in general, that a person applying for a license must submit documentation to the licensing agency that satisfactorily demonstrates that the applicant is lawfully present in the United States.
NOTE: all Childcare Licensees and Group Home Certificate Holders must comply with these laws.
Assisted Living, Medical, Long-term care, Special Licensing and Behavioral Health Licensees; the law requires that the verification process only be conducted for individuals or non-incorporated partnerships requesting licenses or certifications and not for corporations or limited liability companies.
1 of 6 ARIZONA STATEMENT OF CITIZENSHIP AND ALIEN STATUS FOR STATE LICENSING OR CERTIFICATION
Division of Licensing Services
citizens or nationals must also complete Section Ill. Submit this completed form and copy of one or more documents that evidence your citizenship or alien status with your application for license or renewal. Copies are acceptable. Please be aware if you send an original document, we cannot guarantee its return to you. SECTION I – APPLICANT INFORMATION APPLICANT'S NAME (Print or type) DATE:
TYPE OF LICENSE/CERTIFICATION: CHILD CARE CENTER
GROUP HOME CENTER/GROUP HOME ADDRESS:
Directions: Attach a legible copy of the front, and the back (if any), of a document from the attached List A. Name of document provided: Expiration Date:
A.
Are you a citizen or national of the United States? (Check one): Yes No B.
If the answer is "Yes," where were you born? List city, state (or equivalent), and country. City:
State (or equivalent):
Country or Territory:
If you are a citizen or national of the United States, go to Section IV. If you are not a citizen or national of the United States, please complete Sections III and IV. SECTION Ill – ELIGIBLE ALIEN STATUS Directions: To be completed by applicants who are not citizens or nationals of the United States. Attach a legible copy of the front, and the back (if any), of a document from the attached List B. Name of document provided: Expiration Date:
All applicants must complete this section. I declare under penalty of perjury under the laws of the state of Arizona that the answers I have given are true and correct to the best of my knowledge.
DATE SECTION V – OFFICE USE ONLY – VERIFICATION
2 of 6 EVIDENCE OF U.S. CITIZENSHIP, U.S NATIONAL STATUS, OR ALIEN STATUS LIST A: U.S. CITIZEN OR U.S. NATIONAL Note:
In this List, the term “Service” refers to the U.S. Citizenship and Immigration Service, formerly, the U.S. Immigration and Naturalization Service (INS).
[Source: Proposed Rules, Verification of Eligibility for Public Benefits, 8 CFR § 104.23; 63 FR 41662-01 August 4, 1998); and Interim Guidance of Verification of Citizenship, Qualified Alien Status and Eligibility Under Title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (“Interim Guidance”), 62 FR 61344 (Nov. 17, 1997), Attachment 4]
a. Primary Evidence: (1)
A birth certificate showing birth in one of the 50 states, the District of Columbia, Puerto Rico (on or after January 13, 1941), Guam, the U.S. Virgin Islands (on or after January 17, 1917), American Samoa, or the Northern Mariana Islands (on or after November 4, 1986, Northern Mariana Islands local time) (unless the applicant was born to foreign diplomats residing in such a jurisdiction); (2) United States passport; (3) Report of birth abroad of a U.S. citizen (FS-240) (issued by the Department of State to U.S. citizens); (4) Certificate of Birth (FS-545) (issued by a foreign service post) or Certification of Report of Birth (DS-1350), copies of which are available from the Department of State; (5)
Form N-561, Certificate of Citizenship; (6)
Form I-197, United States Citizen Identification Card (issued by the Service until April 7, 1983 to U.S. citizens living near the Canadian or Mexican border who needed it for frequent border crossings) (formerly Form I-179, last issued in February 1974); (7)
Form I-873 (or prior versions), Northern Marianas Card (issued by the Service to a collectively naturalized U.S. citizen who was born in the Northern Mariana Islands before November 3, 1986); (8) Statement provided by a U.S. consular official certifying that the individual is a U.S. citizen (given to an individual born outside the United States who derives citizenship through a parent but does not have an FS- 240, FS-545, or DS-1350); or (9)
Form I-872 (or prior versions), American Indian Card with a classification code "KIC" and a statement on the back identifying the bearer as a U.S. citizen (issued by the Service to U.S. citizen members of the Texas Band of Kickapoos living near the U.S./Mexican border).
[Source: Interim Guidance of Verification of Citizenship, Qualified Alien Status and Eligibility Under Title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (“Interim Guidance”), 62 FR 61344 (Nov. 17, 1997), Attachment 4] b. Secondary Evidence If the applicant cannot present one of the documents listed in (a) above, the following may be relied upon to establish U.S. citizenship or U.S. national status: (1) Religious record recorded in one of the 50 states, the District of Columbia, Puerto Rico (on or after January 13, 1941), Guam, the U.S. Virgin Islands (on or after January 17, 1917), American Samoa, or the Northern Mariana Islands (on or after November 4, 1986, Northern Mariana Islands local time) (unless the applicant was born to foreign diplomats residing in such a jurisdiction) within three 3 months after birth showing that the birth occurred in such jurisdiction and the date of birth or the individual's age at the time the record was made; (2) Evidence of civil service employment by the U.S. government before June 1, 1976; (3) Early school records (preferably from the first school) showing the date of admission to the school, the applicant's date and U.S. place of birth, and the name(s) and place(s) of birth of the applicant's parents(s); (4) Census record showing name, U.S. nationality or a U.S. place of birth, and applicant's date of birth or age; (5) Adoption finalization papers showing the applicant's name and place of birth in one of the 50 states, the District of Columbia, Puerto Rico (on or after January 13, 1941), Guam, the U.S. Virgin Islands (on or after January 17, 1917), American Samoa, or the Northern Mariana Islands (on or after November 4, 1986, Northern Mariana Islands local time) (unless the applicant was born to foreign diplomats residing in such a jurisdiction), or, when the adoption is not finalized and the state or other U.S. jurisdiction listed above will not release a birth certificate prior to final adoption, a statement from a State-or jurisdiction-approved 3 of 6
adoption agency showing the applicant's name and place of birth in one of such jurisdictions, and stating that the source of the information is an original birth certificate; (6) Any other document that establishes a U.S. place of birth or otherwise indicates U.S. nationality (e.g., a contemporaneous hospital record of birth in that hospital in one of the 50 states, the District of Columbia, Puerto Rico (on or after January 13, 1941), Guam, the U.S. Virgin Islands (on or after January 17, 1917), American Samoa, or the Northern Mariana Islands (on or after November 4, 1986, Northern Mariana Islands local time) (unless the applicant was born to foreign diplomats residing in such a jurisdiction);
If the applicant cannot present one of the documents listed in (a) or (b) above, the following will establish U.S. citizenship for collectively naturalized individuals: Puerto Rico: •
Evidence of birth in Puerto Rico on or after April 11, 1899 and the applicant's statement that he or she was residing in the U.S., a U.S. possession or Puerto Rico on January 13, 1941; or •
in Puerto Rico on March 1, 1917 and that he or she did not take an oath of allegiance to Spain. U.S. Virgin Islands: •
Evidence of birth in the U.S. Virgin Islands, and the applicant's statement of residence in the U.S., a U.S. possession or the U.S. Virgin Islands on February 25, 1927; •
and residence in the U.S., a U.S. possession or the U.S. Virgin Islands on February 25, 1927, and that he or she did not make a declaration to maintain Danish citizenship; or •
possession or territory or the Canal Zone on June 28, 1932. Northern Mariana Islands (NMI) (formerly part of the Trust Territory of the Pacific Islands (TTPI)): •
Evidence of birth in the NMI, TTPI citizenship and residence in the NMI, the U.S., or a U.S. territory or possession on November 3, 1986 (NMI local time) and the applicant's statement that he or she did not owe allegiance to a foreign state on November 4, 1986 (NMI local time); •
Evidence of TTPI citizenship, continuous residence in the NMI since before November 3, 1981 (NMI local time), voter registration prior to January 1, 1975 and the applicant's statement that he or she did not owe allegiance to a foreign state on November 4, 1986 (NMI local time); or •
Evidence of continuous domicile in the NMI since before January 1, 1974 and the applicant's statement that he or she did not owe allegiance to a foreign state on November 4, 1986 (NMI local time). Note: If a person entered the NMI as a nonimmigrant and lived in the NMI since January 1, 1974, this does not constitute continuous domicile and the individual is not a U.S. citizen
If the applicant cannot present one of the documents listed in a or b above, the following may be used to make a determination of derivative U.S. citizenship:
relationship of the applicant to the parents, and evidence that at least one parent resided in the U.S. or an outlying possession prior to the applicant's birth.
parent is a U.S. citizen and that the other is a U.S. non-citizen national, evidence of the relationship of the applicant to the U.S. citizen parent, and evidence that the U.S. citizen parent resided in the U.S., a U.S. possession, American Samoa or Swain's Island for a period of at least one year prior to the applicant's birth.
evidence of the relationship to the applicant and, for births on or before December 24, 1952, evidence that the mother resided in the U.S. prior to the applicant's birth or, for births after December 24, 1952, evidence that the mother had resided, prior to the child's birth, in the U.S. or a U.S. possession for a period of one year. Applicant born in the Canal Zone or the Republic of Panama: •
A birth certificate showing birth in the Canal Zone on or after February 26, 1904 and before October 1, 1979 and evidence that one parent was a U.S. citizen at the time of the applicant's birth; or •
1979 and evidence that at least one parent was a U.S. citizen and employed by the U.S. government or the Panama Railroad Company or its successor in title. 4 of 6
In all other situations in which an applicant claims to have a U.S. citizen parent and an alien parent, or claims to fall within one of the above categories, but is unable to present the listed documentation: •
If the applicant is in the U.S., the applicant should contact the local U.S. Citizenship and Immigration Service office for determination of U.S. citizenship; •
determination.
•
If the birth certificate shows a foreign place of birth and the applicant cannot be determined to be a naturalized citizen under any of the above criteria, obtain other evidence of U.S. citizenship; •
Because foreign-born adopted children do not automatically acquire U.S. citizenship by virtue of adoption by U.S. citizens, the applicant should contact the local U.S. Citizenship and Immigration Service office for a determination of U.S. citizenship, if the applicant provides no evidence of U.S. citizenship.
U.S. Citizenship By Marriage A woman acquired U.S. citizenship through marriage to a U.S. citizen before September 22, 1922. Provide evidence of U.S. citizenship of the husband, and evidence showing the marriage occurred before September 22, 1922.
Note: If the husband was an alien at the time of the marriage, and became naturalized before September 22, 1922, the wife also acquired naturalized citizenship. If the marriage terminated, the wife maintained her U.S. citizenship if she was residing in the U.S. at that time and continued to reside in the U.S.
LIST B: QUALIFIED ALIENS, NONIMMIGRANTS, AND ALIENS PAROLED INTO U.S. FOR LESS THAN ONE YEAR The documents listed below that are registration documents are indicated with an asterisk ("*"). a. “Qualified Aliens” Evidence of “Qualified Alien” status includes the following:
- *Form I-551 (Alien Registration Receipt Card, commonly known as a "green card"); or - Unexpired Temporary I-551 stamp in foreign passport or on *I Form I-94.
- * Form I-94 annotated with stamp showing grant of asylum under section 208 of the INA; - *Form I-688B (Employment Authorization Card) annotated "274a.12(a)(5)"; - * Form I-766 (Employment Authorization Document) annotated "A5"; - Grant letter from the Asylum Office of the U.S. Citizenship and Immigration Service; or - Order of an immigration judge granting asylum.
- * Form I-94 annotated with stamp showing admission under § 207 of the INA; - * Form I-688B (Employment Authorization Card) annotated "274a.12(a)(3)"; or - * Form I-766 (Employment Authorization Document) annotated "A3"
- * Form I-94 with stamp showing admission for at least one year under section 212(d)(5) of the INA. (Applicant cannot aggregate periods of admission for less than one year to meet the one-year requirement.)
- * Form I-688B (Employment Authorization Card) annotated "274a.12(a)(10)"; - * Form I-766 (Employment Authorization Document) annotated "A10"; or - Order from an immigration judge showing deportation withheld under §243(h) of the INA as in effect prior to April 1, 1997, or removal withheld under § 241(b)(3) of the INA.
Alien Granted Conditional Entry - * Form I-94 with stamp showing admission under §203(a)(7) of the INA; - * Form I-688B (Employment Authorization Card) annotated "274a.12(a)(3)"; or - * Form I-766 (Employment Authorization Document) annotated "A3."
- * Form I-551 (Alien Registration Receipt Card, commonly known as a "green card") with the code CU6, CU7, or CH6; - Unexpired temporary I-551 stamp in foreign passport or on * Form I-94 with the code CU6 or CU7; or - Form I-94 with stamp showing parole as "Cuba/Haitian Entrant" under Section 212(d)(5) of the INA. Alien Who Has Been Declared a Battered Alien or Alien Subjected to Extreme Cruelty - U.S. Citizenship and Immigration Service petition and supporting documentation b. Nonimmigrant Evidence of “Nonimmigrant” status includes the following: - * Form I-94 with stamp showing authorized admission as nonimmigrant
c. Alien Paroled into U.S. for Less than One Year Evidence includes: - * Form I-94 with stamp showing admission for less than one year under section 212(d)(5) of the INA 6 of 6 Yüklə 59,54 Kb. Dostları ilə paylaş:
|