One of the following documents may be used to prove both citizenship and identity:
U.S. Passport (current or expired);
Certificate of Naturalization (N-550 or N-570); or
Certificate of Citizenship (N-560 or N-561).
Individuals born outside the U.S., who were
not a U.S. citizen at birth, must present one of the above three documents.
Other individuals may use one of the following documents to prove citizenship (a second document to prove identity will also be required).
Proof of Citizenship
- U.S. Birth Certificate
- For children under 16 only, record on hospital letterhead or other medical record, created near the date of birth and showing the U.S. place of birth (not including an immunization record)
- Record showing U.S. place of birth if created at least 5 years before initial Medical Assistance or MCHP application: record on hospital letterhead, medical record of the birth, institutional admission papers, signed statement by physician or midwife who attended the birth, Vital Statistics notice of birth registration, insurance record
- FInal adoption decree for child born in U.S.
- Certificate of citizen born abroad (DS-1350, FS-240, FS-545)
- Military service record showing U.S. place of birth
- Evidence of U.S. civil service employment before 06/01/1976
- Federal or state census record for 1900-1950 showing U.S. citizenship or U.S. place of birth
- ID card for naturalized citizen living in Mexico or Canada (I-179 or I-197)
- Two written and signed statements (affidavits) by U.S. citizens who have personal knowledge of the individual's citizenship and why documentation is not available. At lease one of the affidavits must be signed by someone who is not related to the applicant or recipient. Both signors must prove their own U.S. citizenship and identity. A third affidavit must be signed by the individual, parent, guardian, etc. explaining why the other types of documentation are not available.
One of the following documents may be used to verify identity:
Proof of Identity
- Photo ID: driver's license or MVA ID card, school ID card, government (federal, state or local) ID card
- U.S. military ID card or draft record
- Military dependent's ID card
- For children under 16 only: school record such as a report card or DHR/FIA 604 or 604-A school verification form, nursery or day care record, or written statement signed by parent or guardian (only acceptable if written statement was not used as proof of citizenship)
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