Statement Of Citizenship Alienage And Immigration Status {DFPI-250.61}

DFPI-250.61 - STATEMENT OF CITIZENSHIP, ALIENAGE, AND IMMIGRATION STATUS. This form is used by individuals applying for a license or certificate from the Department of Financial Protection and Innovation (DFPI). It is designed to confirm the applicant's citizenship or immigration status in order to meet eligibility requirements. Citizens and nationals of the United States who meet all eligibility requirements and apply for a license or certificate must fill out Sections A and D of this form. Aliens who meet all eligibility requirements and apply for a license or certificate must complete Sections A, B, C (if applicable), and D of this form. Section A asks for a declaration of citizenship or nationality, and applicants must provide proof of citizenship if applicable, such as a birth certificate or passport. If the applicant is an alien, Section B requires them to identify their immigration status (e.g., lawful permanent resident, asylee, refugee) and submit relevant documents such as a "green card" or employment authorization documents. Section C is for individuals who have been battered or subjected to extreme cruelty, asking for relevant proof such as petitions or court orders. Lastly, Section D includes a declaration under penalty of perjury confirming the truthfulness of the provided information. The form also includes lists of acceptable documents for verifying U.S. citizenship and alien status, such as birth certificates, passports, and immigration forms. www.FormsWorkflow.com