Family Planning Program - State of Oregon : Oregon.gov ...



ORIGINAL DOCUMENTS or AGENCY-CERTIFIED DOCUMENTS that show PROOF OF U.S. CITIZENSHIP and PROOF OF IDENTITY

Here are some examples of documents to bring

|ONE DOCUMENT FOR PROOF OF CITIZENSHIP AND IDENTITY |

| |

|A current United States passport |

|An expired passport that had been originally issued without limitation |

|A passport issued before 1980 where you were a spouse or child who was included in the passport |

|Certificate of Naturalization (Form N-550 or N-570) |

|Certificate of United States Citizenship (Form N-560 or N-561) |

|OR ONE OF EACH |

|PROOF OF CITIZENSHIP AND PROOF OF IDENTITY |

| | |

|Birth certificate from the United States or its territories |State driver’s license or identification card with a photograph or |

|Certificate of Birth Abroad (Form FS-545 or FS 1350) |identifying information such as date of birth, sex, height, color of eyes, |

|Report of Birth Abroad of a Citizen of the U.S. (Form FS-240) |and address |

|U.S. Citizen Identification Card (Form I-197 or Form I-179) |School identification card with photograph |

|Northern Marianas Card (Form I-873) |U.S. military card or draft record |

|American Indian Card (Form I-872, with classification KIC and citizenship |An identification card issued by federal, state, or local government |

|testimonial) |agencies with photograph or identifying information such as date of birth, |

|Official military record of service (Form DD-214) showing a U.S. place of |sex, height, color of eyes, and address |

|birth |Military dependent’s identification card |

|Final adoption decree showing name and place of birth |Native American tribal documents |

|Official hospital record of birth |U.S. Coast Guard Merchant Mariner Card |

|Official State Vital Statistics registration of birth |Original school, nursery school or daycare records |

|ADDITIONAL DOCUMENTS MAY BE USED — ASK CLINIC STAFF |

|HOW TO OBTAIN CITIZENSHIP AND IDENTITY DOCUMENTS |

|Document |Issuing Agency |Cost |Time |

|Passport |US Department of State Bureau of Consular Affairs |$82–$157 |2–6 wks |

| |877-487-2778 (4USA-PPT) | | |

| |Local office locator: | | |

| |Application with proof of identity and citizenship | | |

|Report of Birth Abroad of a US Citizen (Form |US Department of State Bureau of Consular Affairs |$30 |4–10 wks |

|FS-240) | | | |

| |Notarized written request and affidavit | | |

|Certificate of Birth Abroad of a US Citizen | | | |

|(Form DS-1350) | | | |

|Certificate of US Citizenship |US Citizenship and Immigration Services |$220 | |

|(N-560, N-561) |Customer Service: 800-375-5283 Forms Line: 800-870-3676 | | |

| | | | |

|Naturalization Certificate |Portland Office: | | |

|(N550, N570) |Application, passport photos, possible interview and additional documentation | | |

|Census Bureau Age Search Certificate |US Census Bureau |$65 |3–4 wks |

|(Form BC-600) |Customer Service: 812-218-3046 | | |

| | | | |

| |Application, passport photos, possible interview and additional documentation | | |

|Military Records |National Archives and Records Administration (NARA) | | |

| |866-272-6272 | | |

| |veterans/military-service-records/get-service-records.html | | |

| |8601 Adelphi Rd, College Park MD 20740-6001 | | |

|Birth Certificate |Oregon Vital Statistics |$20 |1–14 days |

| |Phone 971-673-1190, Fax 503-224-8417 | | |

|Pre-adoption birth certificate |Info: | | |

| |800 NE Oregon St #205, Portland OR 97232 | | |

| |Order online: | | |

| |Outside Oregon: (see list over or visit these web sites) | | |

| | or nchs/howto/w2w/w2welcom.htm | | |

| | | |1–4 wks |

| | |$10–$70 | |

|Driver’s License |Oregon DMV Local offices: ODOT/DMV/offices/alphalist.shtml |$54.50 | |

| |Salem 503-945-5000 Bend 541-388-6322 | | |

|State ID |Roseburg 541-440-3395 Medford 541-776-6025 |$29 | |

| |Portland 503-299-9999 Eugene 541-686-7855 | | |

| |Outside Oregon (list of driver license renewal pages): | | |

| | | |

| |9fa54e473016d | | |

|Adoption Records |Most adoption records are at County Courts or other County vital records offices. | | |

| |Oregon Court List: | | |

| |Outside Oregon: | | |

| | | | |

WHERE TO GET BIRTH CERTIFICATES

|STATE VITAL RECORDS |ADDRESS |CITY |ZIP |BIRTH |TELEPHONE |

|ALABAMA |PO Box 5625 |Montgomery |36103-5625 |$12 |334-206-5418 |

|ALASKA |5441 Commercial Boulevard |Juneau |99801 |$20 |907-465-3391 |

|ARIZONA |PO Box 3887 |Phoenix |85030-3887 |$10/L $15 |602-364-1300 |

|ARKANSAS |4815 W Markham Street, Slot 44 |Little Rock |72205-3867 |$12 |501-661-2174 |

|CALIFORNIA |MS5103, PO Box 997410 |Sacramento |95899-7410 |$14 |916-445-2684 |

|COLORADO |4300 Cherry Creek Drive, South |Denver |80246-1530 |$15 |303-692-2200 |

|CONNECTICUT |PO Box 340308 |Hartford |06134-0308 |$15 |860-509-7897 |

|DELAWARE |417 Federal Street |Dover |19901 |$10 |302-744-4549 |

|D. C. |825 North Capitol Street, NE |Washington, D.C. |20002 |$18/ L $23 |202-442-9009 |

|FLORIDA |PO Box 210 |Jacksonville |32231-0042 |$9/ L $14 |904-359-6900 |

|GEORGIA |2600 Skyland Drive, NE |Atlanta |30319-3640 |$10 |404-679-4701 |

|HAWAII |PO Box 3378 |Honolulu |96801-9984 |$10 |808-586-4533 |

|IDAHO |PO Box 83720 |Boise |83720-0036 |$13 |208-334-5988 |

|ILLINOIS |605 West Jefferson Street |Springfield |62702-5097 |$10/ L $15 |217-782-6553 |

|INDIANA |2 North Meridian Street |Indianapolis |46204 |$10 |317-233-2700 |

|IOWA |321 East 12th Street |Des Moines |50319-0075 |$15 |515-281-4944 |

|KANSAS |1000 SW Jackson St., Suite 120 |Topeka |66612-2221 |$12 |785-296-1400 |

|KENTUCKY |275 E Main Street |Frankfort |40621-0001 |$10 |502-564-4212 |

|LOUISIANA |PO Box 60630 |New Orleans |70160 |$9.50/ L $15.50 |504-568-5152 |

|MAINE |244 Water Street, #11 |Augusta |04333-0011 |$15 |207-287-3181 |

|MARYLAND |6550 Reistertown RD |Baltimore |21215 |$12 |410-764-3038 |

|MASSACHUSETTS |150 Mt. Vernon Street 1st Floor |Dorchester |02125-3105 |18 (mail $28) |617-740-2600 |

|MICHIGAN |PO Box 30721 |Lansing |48909 |$26 |517-335-8656 |

|MINNESOTA |PO Box 64882 |St. Paul |55164-0882 |$16 |651-201-5970 |

|MISSISSIPPI |PO Box 1700 |Jackson |39215-1700 |$7/ L $12 |601-576-7450 |

|MISSOURI |PO Box 570 |Jefferson City |65102-0570 |$15 |573-751-6387 |

|MONTANA |PO Box 4210 |Helena |59604 |$12 |406-444-2685 |

|NEBRASKA |PO Box 95065 |Lincoln |68509-5065 |$12 |402-471-2871 |

|NEVADA |505 E King Street, Room 102 |Carson City |89701-4749 |$13 |775-684-4280 |

|NEW HAMPSHIRE |29 Hazen Drive |Concord |03301-6527 |$12 |603-271-4654 |

|NEW JERSEY |PO Box 370 |Trenton |08625-0370 |$25 |609-292-4087 |

|NEW MEXICO |PO Box 26110 |Santa Fe |87502 |$10 |505-827-2338 |

|NEW YORK CITY |125 Worth Street CN4, Room 133 |New York City |10013-4090 |$15 |212-788-4520 |

|N. Y. STATE |PO Box 2602 |Albany |12220-2602 |$30 |518-474-3075 |

|N. CAROLINA |1903 Mail Service Center |Raleigh |27669-1903 |$15 |919-733-3526 |

|N. DAKOTA |600 E Boulevard Ave. Dept. 301 |Bismarck |58505-0200 |$7 |701-328-2360 |

|OHIO |PO Box 15098 |Columbus |43215 |$16.50 |614-466-2531 |

|OKLAHOMA |PO Box 53551 |Oklahoma City |83152 |$10 |405-271-4040 |

|OREGON |PO Box 14050 |Portland |97293-0050 |$20 |971-673-1190 |

|PENNSYLVANIA |PO Box 1528 |New Castle |16101 |$10 |724-656-3100 |

|RHODE ISLAND |3 Capitol Hill, Room 101 |Providence |02908-5097 |$15 |401-222-2811 |

|S. CAROLINA |2600 Bull Street |Columbia |29201 |$12 |803-898-3630 |

|S. DAKOTA |600 E. Capitol Ave. |Pierre |57501-2536 |$10 |605-773-4961 |

|TENNESSEE |421 5th Ave. N |Nashville |37247 |$7/ L $12 |615-741-1763 |

|TEXAS |PO Box 12040 |Austin |78711-2040 |$22 |512-458-7111 |

|UTAH |PO Box 141012 |Salt Lake City |84114-1012 |$10 / L $15 |801-538-6105 |

|VERMONT |PO Box 70 |Burlington |05402-0070 |$9.50 |802-863-7275 |

|VIRGINIA |PO Box 1000 |Richmond |23218 |$12 |804-662-6200 |

|WASHINGTON |PO Box 9709 |Olympia |98507-9709 |$17 |360-236-4300 |

|W. VIRGINIA |350 Capitol Street, Room 165 |Charleston |25301-3701 |$5 |304-558-2931 |

|WISCONSIN |PO Box 309 |Madison |53701-0309 |$12 |608-266-1371 |

|WYOMING |Hathaway Building |Cheyenne |82002 |$12 |307-777-7591 |

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