PRIMARY
Select one and only one document
from Primary.
SECONDARY
Cannot use more than two 1-point documents.
Note: Financial information can be blacked out
Legal proof of name change is a certied marriage or civil union certicate, divorce decree, or court order linking the new name with the previous name. A divorce decree
may be used as authority to resume using a previous name only if it contains the married name and previous name and states a return to use of the previous name.
• Valid NJ driver license/non-driver
identication card, or a Motor Vehicle
Commission issued driver license
renewal form (displaying residential
address)
• Utility or credit card bill issued in the
past 90 days
• Checking or savings account statement
from a bank or credit union issued
within the past 60days
• Original, unexpired lease or rental
agreement
• Tax bill, statement or receipt, and/or any
letter or correspondence received from
the IRS or tax ofce within the past year
• First class mail from any government
agency in the past sixmonths
• If under 18, statement from parent or
guardian certifying address of applicant
• Unexpired US passport or passport card
• US or US Territory birth certicate certied copy
led with a state ofce of vital statistics or equiva-
lent agency in the individual’s state of birth
• US Department of State birth certicate (Form
FS-545 or DS-1350)
• US Department of State Consular Report of Birth
Abroad (Form FS-240)
• Certicate of Naturalization (Form N-550, N-578,
or N-570)
• Certicate of Citizenship (Form N-560 or N-561)
• Current Permanent Resident Card (Form I-551)
issued by USCIS (with expiration date)
• Unexpired foreign passport with valid visa and
I-94 (stamp or form version)
• Current photo employment authorization card
(USCIS Form I-688B or I-766)
• Current Permanent Resident Card (Form I-551)
issued by INS (without expiration date)
• Unexpired standard photo driver license from NJ or
any state, or US Territory, and the District of Columbia
• Unexpired standard non-driver identication card from
NJ only
• Social Security card
• Bank/credit union statement or record (within the
past 60 days)
• ATM/debit card with preprinted name and applicant’s
signature (ATM/debit card and bank statement cannot
be submitted together)
• Current health insurance card or prescription card
displaying applicant’s name
• Current employee identication card with pay stub
• State professional license
• NJ public assistance card with photo (also known as an
NJSocial Services identication card)
• High school diploma, GED or college degree
• Property tax statement, bill or receipt issued by an NJ
municipality
• For NJ high school students: a waiver certicate for the
written portion of the driver’s test
• Veterans Administration universal access photo identi-
cation card
• Unexpired federal government employee driver license
• Unexpired federal government employee photo
identication card
• US military discharge papers (Form DD-214)
• FAA pilot license
• US school photo identication card with transcript or
school records
• US college photo identication card with transcript
• Legal name change court order signed by a
judge or court clerk
• Civil marriage or civil union certicate or
divorce decree
• US adoption papers
• Current US military photo identication card
• Current US military dependent card
• US military photo retiree card
• NJ rearm purchaser card
• Unexpired REAL ID driver license, non-driver
identication card, or probationary license from any
state, US territory and the District of Columbia
• Social Security Card
• W-2 Form issued within the
past year
• Pay Stub with name and full SSN
• 1099 Form issued within the past year
PROOFS OF
RESIDENTIAL ADDRESS
2
STEP
PROOF OF FULL SSN
1
STEP
II
I
POINTS COMBINED FROM PRIMARY AND SECONDARY (REQUIRED)
6
STEP
III
CONTINUE
NEXT
START HERE
C04
Applicant must submit social security
number on application for verication
with SSA. IF verication fails you must
submit one ofthe following to include full
name and SSN:
Documents from steps I and II
may also be used as secondary
documents if listed as an option
ALL IDENTITY DOCUMENTS MUST BE ORIGINAL OR CERTIFIED COPIES IN ENGLISH AND HAVE THE REQUIRED STATE AND/OR MUNICIPAL SEALS.
• Certied copies of NJ records are available from the municipality
that originally issued them and from the Ofce of Vital Statistics and
Registry: nj.gov/health/vital or (609) 292-4087
• For a replacement SSN card visit: socialsecurity.gov/myaccount
• If the applicant’s birth certicate is from Jersey City/Hudson County,
you must check: state.nj.us/health/vital/order-vital/jersey-city-hud-
son-county-records
2
1 6
+ + =
R: 6|22