Licensing Eligibility Forms - City Of Mesa, Arizona - 2012

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Revenue Collections Operations
Licensing Office
Before issuing a license to an individual, the individual must present one of the following documents to the municipality
indicating that the individual's presence in the United States is authorized under federal law:
Check the box next to the document indicating lawful presence.
NOTE: A Government issued photo ID must be presented with any document that does not contain a
photograph of the individual.
An Arizona driver license issued after 1996 or an Arizona non-operating identification license.
A driver license issued by a state that verifies lawful presence in the United States.
(See Overview of States’ Driver’s License Requirements) NOT accepted: HI, NM, UT, WA
Note: a WA “Enhanced” Driver License is acceptable
A birth certificate or delayed birth certificate issued in any state, territory or possession
of the United States.
A United States certificate of birth abroad.
A United States passport or passport card.
A foreign passport with a United States visa.
An I-94 form with a photograph.
A United States citizenship and immigration services employment authorization
document or refugee travel document.
A United States certificate of naturalization.
A United States certificate of citizenship.
A tribal certificate of Indian blood.
A tribal or bureau of Indian affairs affidavit of birth.
Description of other ID issued by: U.S. Government, other State government, an agency of this State or a political
subdivision of this state that requires proof of citizenship or lawful alien status before issuance.
This provision does not apply to an individual, if EITHER:
BOTH of the following apply:
The individual is a citizen of a foreign country or, if at the time of application, the individual resides in a foreign country.
The benefits that are related to the license do not require the individual to be present in the United States in order to
receive those benefits.
ALL of the following apply:
The individual is a resident of another state.
The individual holds an equivalent license in that other state and the equivalent license is of the same type being sought
in this state.
The individual seeks the Arizona license to comply with this state’s licensing laws and not to establish residency in this
Signature of applicant
Signature of municipal employee
55 N. Center Street
PO Box 1466
Mesa Arizona 85211-1466
(480) 644-2316 Tel
(480) 644-3999 Fax
September 2012


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