Fillable Acceptable Id Documents List printable pdf download

ACCEPTABLE ID DOCUMENTS LIST

Applicant must present a document from list A or Both List B AND List C

All Applicants must present original and unexpired documents

*Note: Fingerprint Applicants MUST present TWO forms of ID

Documents that Establish Both

Documents that Establish

Identity and Employment Authorization

Identity

Employment Authorization

AND

☐ Driver's license or ID card issued by

☐ Social Security Account Number card,

☐ U.S. Passport or U.S. Passport Card

a State or outlying possession of the

unless the card includes one of the

United States provided it contains a

following restrictions:

☐ Permanent Resident Card or Alien Registration

photograph or information such as

Receipt Card (Form I-551)

(1) NOT VALID FOR EMPLOYMENT

name, date of birth, gender, height,

(2) VALID FOR WORK ONLY WITH

☐ Foreign passport that contains a temporary

eye color and address

INS AUTHORIZATION

I-551 stamp or temporary I-551 printed

(3) VALID FOR WORK ONLY WITH

notation on a machine- readable immigrant

DHS AUTHORIZATION

visa

☐ ID card issued by federal,

☐ Certification of Birth Abroad issued by the

☐ Employment Authorization Document that

state or local government

Department of State (Form FS-545)

contains a photograph (Form I-766)

agencies or entities,

provided it contains a

☐ Consular Report of Birth Abroad

photograph or information

☐ For a nonimmigrant alien authorized to

(Form FS-240)

such as name, date of

work for a specific employer because of his

birth, gender, height, eye

or her status:

color, and address

Foreign passport; and

Form I-94 or Form I-94A that has

☐ School ID card with a

☐ Certification of Report of Birth issued by

the following:

photograph

the Department of State (Form DS-1350)

(1) The same name as the passport;

☐ Original or certified copy of birth certificate

and

☐ Voter's registration card

issued by a State, county, municipal

(2) An endorsement of the alien's

authority, or territory of the Unites States

nonimmigrant status as long as

☐ U.S. Military Card or Draft Record

bearing an official seal

that period of endorsement has

not yet expired and the proposed

☐ Military Dependent’s ID Card

☐ Native American Tribal Document

employment is not in conflict with

☐ U.S. Coast Guard Merchant

☐ U.S. Citizen ID Card (Form I-197)

any restrictions or limitations

identified on the form

Mariner Card

☐ Native American Tribal Document

☐ Passport from the Federated States of

☐ Driver’s License issued by a Canadian

☐ Identification Card for Use of Resident Citizen

Micronesia (FSM) or the Republic of the

government authority

in the United States (Form I-179)

Marshall Islands (RMI) with Form I-94 or

Form I-94A indicating nonimmigrant

☐ Employment authorization document issued

admission under the Compact of Free

by the Department of Homeland Security

Association Between the United States and

the FSM or RMI

___________________________________

____________________________

_________________________________

Document Number from List A

Document Number from List B

Document Number from List C

___________________________________

____________________________

_________________________________

Issuing Authority

______________________________________

________________________________

____________________________________

Expiration Date (If Applicable)

CERTIFICATION – I attest that I have examined the document(s) presented by ______________________________________

(Applicant’s Full Legal Name)

and that the above-listed document(s) appear to be genuine and relate to the applicant named.

Signature of Authorized Signatory: ___________________________________________________________Date: ________________________________

Signature of Badge Office TA: ______________________________________________________________Date: ________________________________

Acceptable Id Documents List

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