Application For Kansas Veterinary License Page 9

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KANSAS BOARD OF VETERINARY EXAMINERS
PO Box 379
Wamego, Kansas 66547
Phone: 785-456-8781
EVIDENCE OF U.S. CITIZENSHIP, U.S. NATIONAL STATUS, OR ALIEN STATUS
List A: U.S. CITIZEN OR U.S. NATIONAL
You must submit supporting legal documentation (i.e. marriage certificate) if the name on
your evidence is not the same as your current legal name.
Evidence showing U.S. citizen or U.S. national status includes the following:
(1)
A Kansas driver license issued after 1996 or a Kansas identification card;
(2)
A birth certificate or delayed birth certificate issued in any State, Territory, or
Possession of the United States, including 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);
(3)
A United States Certificate of Birth Abroad: Consular Report of Birth Abroad of a
Citizen of the United States (FS-240) (issued by the Department of State to U.S.
citizens); 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);
(4)
A United States passport;
(5)
A foreign passport with a United States visa;
(6)
* An I-94 Form with a photograph and appropriate stamp as described below;
(7)
A United States Citizenship and Immigration Services Employment Authorization
Document (* Form I-766 annotated A3, A5, or A10; or * Form I-551: Permanent
Resident Card or Alien Registration Receipt Card) or Refugee Travel Document
(Form I-571);
(8)
A United States Certificate of Naturalization (N-550 or N-570);
(9)
A United States Certificate of Citizenship (N-560 or N-561);
(10)
A Tribal Certificate of Indian Blood; or
(11)
A Tribal or Bureau of Indian Affairs Affidavit of Birth.
An applicant for a license may alternatively submit the following:
(12)
A driver license issued by a State that verifies lawful presence in the United States,
which does not include Alaska, Hawaii, Iowa, Illinois, Michigan, Montana, North
Carolina, Nebraska, New Mexico, Nevada, Oklahoma, Oregon, Rhode Island,
Texas, Utah, Vermont, Washington, or Wisconsin.
Acceptable stamps and annotations:

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