T1 Documents (Only Tier 1 documents are considered by the federal government to document both citizenship and identity).
US Passport.
Certificate of Naturalization.
Certificate of Citizenship.
Tribal Membership Card with picture.
T2 Documents
Official state/county US birth certificate.***
Other certification of birth issued by the Department of State.
Department of Health (DOH) printout for Washington State Birth
US Citizen ID card.
Final adoption decree in the US.
Evidence of civil service employment by the US government before June 1976.
Official military record of service that shows a US place of birth.
***NOTE: A "hospital" birth certificate is considered by the federal government to be a souvenir and DOES NOT meet the federal requirement for any "T" level of verification.
T3 - Examples (For CCU use only)
The T3 tier of verification must be created 5 years before the date of initial application or eligibility review.
Religious records within 3 months of birth showing US place of birth.
Early school record showing a US place of birth.
Insurance company records (life or health), that indicate a US place of birth.
US hospital record created at the time of birth, indicating a US place of birth such as:
Chart notes of the birth.
Hospital records of the baby's stay in the hospital.
T4 - Examples (For CCU use only)
Federal or State census record indicating US citizenship or US place of birth.
Institutional admission papers indicating a US place of birth and created 5 years before the date of initial application or review.
Other medical records (clinic, doctor, or hospital), created five years before the date of initial application or review that indicate a US place of birth.
Citizenship Affidavit (DSHSH 27-033) The Citizenship Documentation and Identity Affidavit form does not fulfill this requirement.
Identity - Examples
A current state driver's license with individual's picture.
A state identity card with individual's picture.
A US American Indian/Alaska Native tribal document.
Military identification card with individual's picture.
For a child under the age of 16 only, the client may use the Citizenship Documentation and Identity Affidavit form attesting to the child's identity.
For disabled individuals in residential care facilities the facility administrator or director may submit affidavits attesting to the client's identity.
Modification Date: October 28, 2007
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