Immigration Compliance Form (United States Citizen) Alabama State Board Of Public Accountancy printable pdf download

Immigration Compliance Form (United States Citizen) Alabama State Board Of Public Accountancy

Immigration Compliance Form

ALABAMA STATE BOARD OF PUBLIC ACCOUNTANCY

PO BOX 300375

MONTGOMERY, AL 36130‐0375

(334) 242‐5700 

Attachment to the Non‐Licensee Owner Registration Form

United States Citizen

NAME: __________________________________ SSN: _________________________

________ I am a United States (US) Citizen. I am submitting the attached copy of my document to prove citizenship:

________ Driver’s License or Non‐driver’s Identification (ID) card issued by Alabama (AL) Dept of Public Safety or

equivalent governmental agency of another state within US, provided that the governmental agency

of another state requires proof of lawful presence in US as condition of issuance

________ Birth Certificate indicating birth in US or one of its territories

________ Pertinent pages of a valid or expired US Passport identifying the person and person’s passport number,

or the person’s US passport

________ US Naturalization documents or number of the certificate of naturalization

________ Other documents or methods of proof of US citizenship issued by the federal government pursuant to

the Immigration and Nationality Act of 1952, as amended

________ Bureau of Indian Affairs card number, tribal treaty card number or tribal enrollment number

________ Consular report of birth abroad of a citizen of the US

________ Certificate of citizenship issued by the US Citizenship and Immigration Services

________ Certification of report of birth issued by US Dept of State

________ An American Indian card, with KIC classification, issued by US Dept of Homeland Security

________ Final adoption decree showing person’s name and US birthplace

________ Official US military record of service showing applicant’s place of birth in the US

________ Extract from a US hospital record of birth created at the time of the person’s birth indicating the place

of birth in the US

________ AL‐verify

________ Valid Uniformed Services Privileges and ID Card

________ Other form of ID that the AL Dept of Revenue authorizes, through an administrative rule promulgated

pursuant to the AL Admin Procedure Act, to be used to demonstrate or confirm a person’s US

citizenship or lawful presence in US as condition of issuance

_________________________________________

Signature and Date

Rev 3/24/2016

Immigration Compliance Form (United States Citizen) Alabama State Board Of Public Accountancy