Proof of Citizenship & Identity
The Health Care Connection
Maryland Children's Health Program (MCHP)
If no other documentation is available to verify citizenship, two written affidavits may be used if the following rules are met:
Affidavits must be supplied by two individuals, at least one of whom is not related to the applicant or recipient.
Each individual signing an affidavit must have personal knowledge of the event(s) establishing the applicant’s or recipient’s citizenship.
Each individual signing an affidavit must prove his or her own citizenship and identity.
If the individual signing an affidavit can explain why documents do not exist or cannot be readily obtained, the affidavit should contain that explanation as well.
Also required is a third
affidavit from the applicant / recipient
or other knowledgeable individual explaining why documentary evidence does not exist or cannot be readily obtained.
All affidavits must be signed under penalty or perjury.
Applicant/Recipient Affidavit of Citizenship
- To be completed by applicant/recipient only
Non-Applicant Affidavit of Citizenship
- To be completed by a relative and at least one non-relative.
Affidavit of Identity
- For a child younger than 16 years old
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