City of Eloy
628 North Main Street
Eloy, Arizona, 85131
Licensing Eligibility Requirement Form (ARS § 41-1080)
Effective October 1, 2008, a new law went into effect preventing the City from issuing a license (either new or
renewed) to an individual unless the individual has provided the City of Eloy with one of the forms of
identification listed below. If your business is incorporated, provide a certificate of good standing.
To become or remain eligible for a license, complete this form and present one of the forms of identification as
listed below to the City of Eloy’s Finance Department for processing. Please indicate which form is presented.
An Arizona driver license issued after 1996 or an Arizona non-operating identification
A driver license issued by a state that verifies lawful presence in the United States. (Licenses
from HI, IL, ME, MD, NM, TX, UT and WA are not acceptable.)
A birth certificate or delayed birth certificate issued in any state, territory or possession of the
A United States certificate of birth abroad.
A United States passport.
A foreign passport with a United States visa.
An I-94 form with a photograph.
An United States citizenship and immigration services employment authorization document or
refugee travel document.
A United States certificate of naturalization.
A United States certificate of citizenship.
A tribal certificate of Indian blood.
A tribal or Bureau of Indian Affairs affidavit of birth.
Corporate certificate of good standing
By my signature below, I hereby certify, under penalty of perjury, that I am legally authorized to be present in
the United States.
Full Signature of Licensee Date
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