CalWORKs Policy - Department of Public Social Services

What is acceptable verification to document
U. S. Citizenship?
All persons born in and subject to the jurisdiction
of the U.S. are U.S. citizens. Citizenship can be
established by an applicant’s statement on the
appropriate Statement of Facts.
The following is acceptable verification and must
be in the case record:
• U.S. birth certificate/hospital certificate (a
child’s birth certificate may be used to
document the parent’s U.S. citizenship if the
parent’s name/place of birth appears on the
child’s birth certificate.
• Baptismal/confirmation certificate or entries in
family Bible, school records.
• Tribal enrollment card.
• Certificate of degree of Indian blood.
• Bureau of Indian Affairs I.D. card.
• Adoption decree.
• Marriage certificate.
• Military discharge papers.
• U.S. Passport.
• Certificate of Citizenship (N-560 or N-561)
from USCIS.
• Certificate of Naturalization (N-550 or N-570).
• United States Citizen Identification Card (I-
179 or I-197).
• Pending receipt of a PA 230 (out of drawer),
Request for Verification/Certification of
Evidence, a signed PA 853.1 (LEADER
generated), Affidavit to Document: U.S.
Citizenship, Identity and Birth, signed by the
applicant for a child and/or spouse or a
relative/friend who has direct knowledge of
the person’s place of birth, date of birth,
his/her parents, etc.).
See CW 42-111.1 – Evidence/Documents for
more information.