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STATE OF CALIFORNIA

STATE PUBLIC BENEFITS STATEMENT

RE 205 (Rev. 6/99) 		DEPARTMENT OF REAL ESTATE
LICENSING

— Please submit legible photocopies not original documents —

LIST A: ACCEPTABLE DOCUMENTS TO ESTABLISH U.S. CITIZENSHIP

 A person who is a citizen of the United States as evidenced by one of the following:
  1. A birth certificate issued in or by a city, county, state or other governmental entity within the United States or its outlying possessions.

  2. A U.S. Certificate of Birth Abroad (FS-545, DS-135) or a Report of Birth Abroad of a U.S. Citizen (FS-240).

  3. A birth certificate or passport issued from:
    1. Puerto Rico, on or after January 13, 1941.
    2. Guam, on or after January 17, 1917.
    3. U.S. Virgin Islands, on or after January 17, 1917.
    4. Northern Mariana Islands, on or after November 4, 1986.
    5. American Samoa.
    6. Swain's Island.
    7. District of Columbia.

  4. A U.S. passport (expired or unexpired).

  5. Certificate of Naturalization (N-550, N-57, N578).

  6. Certificate of Citizenship (N-560, N-561, N-645).

  7. U.S. Citizen Identification Card (I-179, I-197).

  8. An individual Fee Register Receipt (Form-G-711) that shows that the person has filed an application for a New Naturalization or Citizenship Paper (Form N-565).

LIST B: ACCEPTABLE DOCUMENTS TO ESTABLISH ALIEN STATUS

 An alien lawfully admitted for permanent residence under the Immigration and Naturalization Act (INA) must submit supporting documentation to establish legal presence under one of the following categories:
  1. An alien lawfully admitted for permanent residence under the Immigration and Naturalization Act (INA). Evidence includes:
    • INS Form I-551 (Alien Registration Receipt Card commonly known as a "green card"); or
    • Unexpired Temporary I-551 stamp in foreign passport or on INS Form I-94.

  2. An alien who is granted asylum under section 208 of the INA. Evidence includes:
    • INS Form I-94 annotated with stamp showing grant of asylum under Section 208 of the INA.
    • INS Form I-688B (Employment Authorization Card) annotated "274a.12(a)(5)"
    • INS Form I-766 (Employment Authorization Document) annotated "A5"
    • Grant Letter from the Asylum Office of INS or
    • Order of an immigration judge granting asylum.

  3. A refugee admitted to the United States under section 207 of the INA. Evidence includes:
    • INS Form I-94 annotated with stamp showing admission under s207 of the INA
    • INS Form I-688B (Employment Authorization Card) annotated "274a.12(a)(3)"
    • INS Form I-766 (Employment Authorization Document) annotated "A3"
    • INS Form I-571 (Refugee Travel Document).

  4. An alien paroled into the United States for at least one year under section 212(d)(5) of the INA. Evidence includes:
    • INS Form I-94 with stamp showing admission for at least one year under Section 212(d)(5) of the INA.

  5. An alien whose deportation is being withheld under section 243(h) of the INA (as in effect immediately prior to September 30, 1996) or by Section 241(b)(3) of such Act (as amended by section 305(a) of division C of Public Law 104-208). Evidence includes:
    • INS Form I-688B (Employment Authorization Card) annotated "274a.12(a)(10)"
    • INS Form I-766 (Employment Authorization Document) annotated "A10" or
    • Order from an immigration judge showing deportation withheld under s243(h) of the INA as in effect prior to April 1, 1997, or removal withheld under s241(b)(3) of the INA.

  6. An alien who is granted conditional entry under section 203(a)(7) of the INA as in effect prior to April 1, 1980. Evidence Includes:
    • INS Form I-94 with stamp showing admissioin under s203(a)(7) of the INA
    • INS Form I-688B (Employment Authorization Card) annotated "274a.12(a)(3)"
    • INS Form I-766 (Employment Authorization Document) annotated "A3"

  7. An alien who is a Cuban or Haitian entrant (as defined in section 501(e) of the Refugee Assistance Act of 1980). Evidence includes:
    • INS Form I-551 (Alien Registration Receipt Card, commonly known as a "green card") with th code CU6, CU7, or CH6;
    • Unexpired temporary I-551 stamp in foreign passport or on INS Form I-94 with code CU6 or CU7; or
    • INS Form I-94 with stamp showing "Cuba/Haitian Entrant" under Section 212(d)(5) of the INA.

  8. An alien paroled into the United States for less than on year under section 212(d)(5) of the INA. Evidence includes:
    • INS Form I-94 showing this status.

  9. An alien who has been declared a battered alien. Evidence includes:
    • INS petition and supporting documentation.
Note: Lists A and B contain the most common documents which can be used to establish U.S. Citizenship or legal alien status. For a complete list of acceptable documents, please refer to State Public Benefits (Comprehensive List) (RE 205B), which my be obtained from the DRE's Web site (requires Acrobat Reader) or by calling or writing any office of the DRE.

Mail to appropriate section/unit:

  • Department of Real Estate
    Original License Section — Broker
    P.O. Box 187002
    Sacramento, CA 95818-7002

  • Department of Real Estate
    Original License Section — Sales
    P.O. Box 187002
    Sacramento, CA 95818-7002

  • Department of Real Estate
    Salesperson Change Section
    P.O. Box 187003
    Sacramento, CA 95818-7003

  • Department of Real Estate
    Broker/Corporation Change Section
    P.O. Box 187004
    Sacramento, CA 95818-7004

  • Department of Real Estate
    Recovery Account Unit
    P.O. Box 187007
    Sacramento, CA 95818-7007