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Get the free Arizona Statement of Citizenship and Alien Status for State Public Benefits

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Este formulario es utilizado por los solicitantes para declarar su ciudadanía o estatus de extranjero al solicitar licencias profesionales y comerciales en el estado de Arizona. Incluye secciones
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How to fill out Arizona Statement of Citizenship and Alien Status for State Public Benefits

01
Obtain the Arizona Statement of Citizenship and Alien Status form from the appropriate state agency or website.
02
Begin filling in your personal information, including your name, address, and date of birth.
03
Indicate your citizenship status by checking the appropriate box (U.S. Citizen, U.S. National, or eligible non-citizen).
04
If you are not a U.S. citizen, provide your alien registration number or admission number.
05
Complete any additional sections that pertain to the specific state benefits you're applying for.
06
Review the form for accuracy and completeness.
07
Sign and date the form certifying that the information provided is true and correct.
08
Submit the form along with your application for state public benefits to the designated agency.

Who needs Arizona Statement of Citizenship and Alien Status for State Public Benefits?

01
Individuals applying for state public benefits in Arizona who need to verify their citizenship or immigration status.
02
Residents seeking assistance programs such as food stamps, healthcare, or other governmental aid.
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STATEMENT OF CITIZENSHIP, ALIENAGE, AND IMMIGRATION STATUS Evidence of the U.S. citizenship of the parents and the relationship of the applicant to the parents, and evidence that at least one parent residing in the U.S. or an outlying possession prior to the applicant's birth.
A legible photocopy of a birth certificate that verifies United States Citizenship. A legible photocopy of your United States Passport containing your name and Passport Number. A legible photocopy of U.S. Naturalization documents or the Alien Registration Number that begins with the letter “A”.

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The Arizona Statement of Citizenship and Alien Status for State Public Benefits is a legal document that individuals must complete to verify their citizenship or immigration status when applying for state public benefits.
Individuals applying for state public benefits, including those seeking health care, nutritional assistance, or other welfare services in Arizona, are required to file this statement.
To fill out the form, applicants must provide accurate information regarding their citizenship status, including whether they are a U.S. citizen, a legal resident, or a non-citizen, and submit any necessary supporting documentation.
The purpose of the statement is to ensure compliance with federal and state laws regarding public benefits eligibility, confirming that only eligible individuals receive state assistance.
The form requires individuals to report their full name, date of birth, citizenship status, alien registration number (if applicable), and any other information necessary to establish their eligibility for benefits.
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