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This document is used by applicants to declare their citizenship or alien status when applying for a professional or commercial license in Arizona, in accordance with federal and state laws regarding
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How to fill out Arizona Statement of Citizenship and Alien Status

01
Obtain the Arizona Statement of Citizenship and Alien Status form from the appropriate source.
02
Read the instructions provided with the form carefully.
03
Fill out your personal information in the designated sections, including your full name, address, date of birth, and any other required details.
04
Indicate your citizenship status by selecting the appropriate option (U.S. citizen or eligible non-citizen).
05
If you are an alien, provide your alien registration number or other identifying information as requested.
06
Review the information you have entered to ensure accuracy.
07
Sign and date the form where indicated.
08
Submit the completed form according to the instructions provided, usually to the agency or organization that requested it.

Who needs Arizona Statement of Citizenship and Alien Status?

01
Individuals applying for public benefits in Arizona.
02
Students applying for in-state tuition at public colleges and universities in Arizona.
03
Anyone needing to verify their citizenship or alien status for specific state or local government purposes.
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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.
List A U.S. Public Birth Certificate. Consular Report or Certificate of Child Born Abroad. Individual Fee Register receipt (INS Form G-711). U.S. citizen identification card (I-197 or the prior version I-179). Federal or State census record showing U.S. citizenship or U.S. place of 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”.
Alien is a term used in federal and state law to identify a foreign-born person who lives in the United States, has not naturalized, and is still a citizen of a foreign country.

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The Arizona Statement of Citizenship and Alien Status is a legal form used to verify an individual's citizenship or legal resident status when they are applying for public benefits or services.
Individuals applying for public benefits or services in the state of Arizona are required to file the Arizona Statement of Citizenship and Alien Status.
To fill out the Arizona Statement of Citizenship and Alien Status, individuals must provide their personal information, declare their citizenship or immigration status, and sign the form affirming the truth of their statements.
The purpose of the Arizona Statement of Citizenship and Alien Status is to ensure that only eligible individuals receive public benefits, in compliance with state and federal laws regarding citizenship and immigration status.
The Arizona Statement of Citizenship and Alien Status requires individuals to report their name, date of birth, citizenship status, and other identifying information, along with a declaration of their immigration status.
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