Instructions for Required Affidavit:
All natural persons fourteen (14) years of age or older and present in the United States, applying for a license with the Oklahoma
Construction Industries Board are required, by the provisions of 56 O.S. § 71, to provide the Board with verification of lawful
presence in the United States by executing the Affidavit shown below before a notary public or other officer authorized to
notarize affidavits under State law. The Board’s licensing offices are staffed with notaries who are available to provide notary
service at no cost to Applicants.
AFFIDAVIT VERIFYING LAWFUL PRESENCE IN THE UNITED STATES
Affidavit of
_______________________________ STATE OF OKLAHOMA )
[Applicant's Full Name] ) ss:
COUNTY OF _______________ )
I ________________________, of lawful age, being first duly sworn, upon oath state, under penalty
[Applicant's Full Name]
of perjury, as follows:
Please check the appropriate box:
Option 1: □ I am a United States Citizen.
Option 2: □ I am a qualified alien under the federal Immigration and Naturalization Act, and I am lawfully
present in the United States. For this Option, a copy of a valid immigration document which
reflects the applicant's "A" number or "I-94" number must accompany this Affidavit.
____________________________________
[Signature of Applicant]
Subscribed and sworn to or affirmed before me this ______ day of ________________, 20_____, by
_________________________________.
[Applicant's Name – Please Print]
____________________________________
[Signature of Notary]
My Commission Expires: _______________
My Commission Number:_______________ (Notary Seal)
