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Arizona State University Citizenship/Status Verification Form

Arizona law requires that students who are seeking consideration for in-state tuition status or aid that is funded in part or in whole by state money to provide verification of citizenship, permanent residency or other lawful immigration status. It is the students responsibility to provide appropriate documentation. If you have questions about the verification process or concerns about the ability to provide documentation, contact the University Registrar's Office at 480.965.3124.

Name _____________________________________________ Student ID:


First Middle Last

10-digit

Phone ____________________________________________ E-mail ___________________________________________ Please check which document you are submitting for verification:
Arizona Driver's License (Current, valid, and issued October 1, 1996 or later)

Non-Arizona Driver's License (Current, valid, and issued 2000 or later). States for which licenses are not acceptable as a primary source of verification are: Hawaii, Massachusetts, Michigan, New Mexico, North Carolina, Oregon, Texas, Utah and Washington, as these states do not verify lawful presence in the U.S.

Bureau of Indian Affairs ID Card, Tribal ID Card, Certificate of Indian Blood (CIB) (requires a legible copy of your photo ID)

Signed U.S. Social Security Card (requires a legible copy of your photo ID)

Signed Certificate of U.S. Citizenship (Form N-560 or N-561) OR Signed Certificate of Naturalization (Form N-550 or N-570)

U.S. Birth Certificate (includes certificates from Puerto Rico on or after January 13, 1941; Guam & the U.S. Virgin Islands on or after January 17, 1917; American Samoa; Swains Island; or the Northern Mariana Islands ) - (requires a legible copy of your photo ID)

Signed U.S. Passport (Current or expired and not stamped non-citizen national) OR Signed Unexpired Foreign Passport with a current and valid U.S. Visa

U.S. Military ID (active duty, reserve or retired) OR DD-214 documentation (requires a legible copy of your photo ID)

Permanent Resident Card (I-151 - issued 1997 or later) Resident Alien Card (I-551 - issued before 1997) Alien Registration Card (I-551 - issued prior to June 1978) International Student: F1 US Visa and I-20 J1 US Visa and DS-2019 Other documentation:

By signing below, I certify that all the information supplied by me in this form is correct and complete, and I understand that any misrepresentation or falsification is sufficient cause for cancellation of enrollment and/or any credits earned and could result in other disciplinary action.

______________________________________________________________________________________________________ Signature of Student Date


Accepted formats for submission are as follows: via email at registrar@asu.edu; via mail (see address information below) or in person at any of the campus locations listed below.
Downtown Phoenix campus University Registrars Office University Center Suite 130 411 N. Central, Suite 130 Phoenix, AZ 85004 602-496-4372 Polytechnic campus University Registrars Office Administration Building 5990 S. Sterling Mall Mesa, AZ 85212 480-727-1142 Tempe campus University Registrar's Office Student Services Building Rm. 140 PO Box 870312 Tempe, AZ 85287 480-965-3124 West campus Enrollment Services University Services Building Rm. 120 PO Box 37100 Phoenix, AZ 85069 602-543-8203

All of the information on this form is confidential and in compliance with the Family Education Rights and Privacy Act of 1974.

rev 06/25/2012

Arizona State University


Acceptable Documents
The following is a list of acceptable documents to verify a student's citizenship, legal resident or other lawful presence status for purposes of determining eligibility for in-state tuition. Documents may be emailed, mailed, or submitted in person. Documentation that is submitted via email or mail must be legible with no evidence of tampering. The Most Common Ways to Provide Verification: 1. Arizona Driver's License (Current, valid, and issued October 1, 1996 or later) Non-Arizona Driver's License (Current, valid, and issued 2000 or later). States for which licenses are not acceptable as a primary source of verification are Hawaii, Maryland, Massachusetts, Michigan, New Mexico, North Carolina, Oregon, Texas, Utah, and Washington, as these states do not verify lawful presence in the U.S. Bureau of Indian Affairs identification card, Tribal identification card, Certificate of Indian Blood** 3. U.S. Social Security card** Issued by the Social Security Administration 4. Certificate of U.S. Citizenship (Form N-560 or N-561 issued by USCIS through a federal or state court or through administrative naturalization after December 1990) Certificate of Naturalization (Form N-550 or N-570 issued by USCIS) 5. U.S. Birth Certificate** showing birth in the United States, which includes Puerto Rico (on or after January 13, 1941), Guam, the U.S. Virgin Islands (on or after January 17, 1917), American Samoa, Swains Island, or the Northern Mariana Islands, unless the person was born to foreign diplomats residing in the US. Affidavit of birth** Consular Report of Birth Abroad** (Form FS-240 issued by State Department) Certificate of Birth from Foreign Service Post** (Form FS-545 issued by State Department) Certification of Report of Birth** (Form DS-1350 issued by State Department) 6. U.S. Passport (current or expired and not stamped non-citizen national) Unexpired Foreign passport with valid U.S. Visa **indicates this document must be accompanied with a legible copy of a photo id in order to be eligible for verification. 11. International Student F visa US Visa and I-20 J visa US Visa and DS-2019 8. 7. U.S. Military DD-214 documentation** ID Card for active duty, reserve or retired Permanent Resident Card with photograph (Form I-151 issued 1997 or later) Resident Alien Card (Form I-551 issued before 1997) Alien Registration Receipt Card with photograph (Form I-551 issued prior to June 1978) Refugee Travel Document** (Form I-571 Issued since 2003) Form I-94** arrival/departure record with endorsement expiration date must not have passed stamp showing admission under section 207 (refugees) or section 208 (asylee) of the Immigration Nationality Act Voters Registration Card** U.S. Armed Forces Drivers License U.S. Military card or draft record Military dependents ID card**

2.

9.

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If you do not possess any of the documentation listed please contact the University Registrars Office at 480-965-3124 for assistance.