Statement of citizenship, alienage and immigration status - California ... 2025

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U.S. Citizenship and Immigration Services (USCIS), U.S. Customs and Border Protection (CBP), and U.S. Immigration and Customs Enforcement (ICE) issue Form I-94, in either paper or electronic format, to aliens as evidence of their immigration status or category.
STATEMENT OF CITIZENSHIP, ALIENAGE, AND IMMIGRATION STATUS United States passport (except limited passports, which are issued for periods of less than five years); Report of birth abroad of a U.S. citizen (FS-240) (issued by the Department of State to U.S. citizens);
Medi-Cal satisfactory immigration status refers to persons eligible for benefits and includes Refugee, Cuban/Haitian, Asylee, Amerasian, Conditional Entrant, those granted withholding of removal/deportation, persons granted Parole for one year or more, abused/battered immigrant(s), children of abused/battered
This is an identity document proving U.S. citizenship. Certificates of Citizenship are issued to derivative citizens and those who acquired U.S. citizenship (see definitions for Acquired citizenship and Derivative Citizenship).
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