Proof of Lawful Presence Attestation - Central District Health

Effective July 1, 2025, Idaho public health districts must verify the proof of U.S. citizenship or lawful presence for adults 18 years and older when applying for public benefits. This change, introduced in House Bill 135 during the 2025 Idaho Legislative Session and signed by Governor Little on April 2, 2025, requires applicants to provide identification and complete an attestation form.

For adult WIC applicants who are not on Medicaid, SNAP, or TAFI.

Provide One of the Following Proofs (select one)

Idaho driver’s license or identification card (pursuant to Idaho Code § 49-2444)

Valid driver’s license or similar document from another state or U.S. territory (must contain a photograph)

U.S. military card or military dependent’s identification card

U.S. Coast Guard merchant mariner card

Native American tribal document

Executive Office of Immigration Review, Immigration Judge, or Board of Immigration Appeals decision granting asylee status or stating “I may lawfully remain in the U.S.”

U.S. Citizenship and Immigration Services document showing refugee or asylee status, or stating “I may lawfully remain in the U.S.”

U.S. Department of State or Customs and Border Protection document showing permitted entry into the U.S. on the basis of refugee or asylee status, or any other basis permitting legal entry and residence

Valid U.S. passport

30-Day Certification (If Proof of Lawful Presence Is Not Available)

I will provide proof of lawful presence that I selected above within 30 days.

Affirmation of Lawful Presence (select one)

I am a United States citizen or legal permanent resident.

I am otherwise legally present in the United States pursuant to federal law.

Proof Verification Document

Maximum file size: 52.43MB

For the purposes of lawful presence verification, any documents you submit will not be retained by Central District Health.

How would you prefer to be contacted if we have follow-up questions?

Phone

Applicant's Full Name

First Name

Middle Name

Last Name

Applicant’s Signature:

Clear

FCS ID#:

EHS ID#:

FID#:

This institution is an equal opportunity provider.

If you are human, leave this field blank.