Address or Residency
Age
Child & Dependent Care Expenses
Child
Citizenship / Immigration Status
Household Expenses
Household Income
Identity
Loss of Income
Resources
Social Security Number
Unemployment
Unexpected Expenses
Provide one of these documents as proof of immigration status:
U.S. birth certificate
U.S. baptismal record (recorded within 3 months of birth)
U.S. or other passport
Naturalization certificate*
INS form I-551 (Green Card)
Permanent Resident Card (Green Card)
INS form I-94 (Arrival Departure Card)
INS form I-220B 124 (Order of Supervision)
INS I-210 letter (Voluntary Departure)
INS form I-181 (Memorandum of the Creation of Record of Lawful Permanent Residence)
Letter from USCIS (INS) that shows that you are living in the U.S. with the knowledge and permission of the INS (PRUCOL status)
Visit the United States Citizenship and Immigration Services website to see immigration forms:
http://uscis.gov/graphics/formsfee/index.htm
.
Select your location:
Baltimore
Connecticut
Georgia
Illinois
Massachusetts
Memphis
New York City
Tulsa
Ask a question or give feedback
Free Prescription Discount Card