Fillable True Copy ID Form (Muscogee)

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True Copy ID Form (Muscogee)

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The Muscogee (Creek) Nation of Oklahoma
Citizenship Board
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Muscogee (Creek) Nation ~ Citizenship Office ~ P.O. Box 580 ~ Okmulgee, OK 74447
You may contact our office at 1-800-482-1979 or (918) 756-8700, ext. 7940/7941/7942/7943
Director
Nathan Wilson
Managers
Andy Proctor
Allan Colbert Jr.
Board Members
Joan Henson
Elizabeth Yahola
Clarence Johnson
Leonard Gouge
Lea Ann Nix
The Muscogee (Creek) Nation of Oklahoma
Citizenship Board
True Copy of Original Form of Identification(s)
I, _____________________________________________, (the adult applicant or parent/legal guardian of the applicant)
(Print First Middle Last Name)
affirm that the identification checked above and attached is/are a true and complete copy of the document which it purports
to represent.
Signature: __________________________________________ Date: __________________
You must sign and date this form in front of a Notary Public.
____________________________________________________________________________________________________________
NOTARY PUBLIC USE ONLY
State of _______________________
County of _____________________
Subscribed and sworn to before me this __________ day of _________________________________, 20_____.
____________________________________________
Notary Public Signature
My Commission Expires:______________________
Muscogee (Creek) Nation ~ Citizenship Office ~ P.O. Box 580 ~ Okmulgee, OK 74447
You may contact our office at 1-800-482-1979 or (918) 756-8700, ext. 7940/7941/7942/7943
Revised: 05/01/2019
Director
Nathan Wilson
Managers
Andy Proctor
Allan Colbert Jr.
Board Members
Joan Henson
Elizabeth Yahola
Clarence Johnson
Leonard Gouge
Lea Ann Nix
Please check the box(es) that apply and attach the designated color-copy ID to this Document
STAND-ALONE PRIMARY FORM OF
IDENTIFICATION
State ID Card or Driver’s License (No
more than 3 months expired)
Oklahoma Self Defense Act License
(Concealed/Open Carry License) (No More
than 3 months expired)
United States Passport (No more than 3
months expired)
Out-of-State Drivers License
**Current Citizenship ID Card with Photo
(No more than 3 months expired)
An identification document issued by the
United States Armed Services (Issued by
the Department of Defense); one of the
following:
Military identification card
Military dependent identification card
** Identity must have been verified with
acceptable identification and/or documentation
with the MCN Citizenship Office
SECONDARY FORM OF IDENTIFICATION
(Original Birth Certificate Required)
Any primary of identification, which is
not used as the primary ID for a U.S.
Citizen
For any person under the age of 18, an
affidavit signed by the parent or legal
guardian
Identification Document issued by the
one of the following:
Oklahoma public, private, or
parochial secondary school
Oklahoma institution of higher
education
Oklahoma technology center
school
Oklahoma employer
Oklahoma gun permit
Pilot license
Oklahoma lifetime hunting or
fishing license
Oklahoma voter identification card
Social Security card
Health insurance card
Cont…
SECONDARY FORM OF IDENTIFICATION
(Original Birth Certificate Required)
Oklahoma Medical Marijuana Adult/
Minor Patient Card
Motor vehicle registration or title
Marriage Certificate
Separation or divorce judgment
Professional degree, certificate, or
license
Deed or title to property in Oklahoma,
including a burial plot deed
Health, life, or home insurance policy
issued to the applicant
Automobile insurance policy or
security verification form issued to the
applicant
A valid U.S.D.O.T. health card, as
required by 49 C.F.R. Part 391
** Digital photograph comparison, if a
digital photograph is already on file
with the MCN Citizenship Office
Military discharge (DD-214), unless
specified not to be used for
identification
** Identity must have been verified with acceptable
identification and/or documentation with the MCN
Citizenship Office
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True Copy ID Form (Muscogee)

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Completed 20 July 2020

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