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Get Form L 152 2014-2024

ARIZONA DEPARTMENT OF INSURANCE 2910 NORTH 44TH STREET SUITE 210 PHOENIX ARIZONA 85018-7269 FORM L-152 Last LICENSING ELIGIBILITY REQUIREMENT First Middle Business Address as shown on license or application City State and ZIP code Arizona law prevents a state agency from issuing a license to an individual unless the individual has provided proof of legal status in the US. Complete this form and staple a photocopy showing both sides if needed of your identification to the back. Only provide one of the following forms of identification mark an X next to the one you are submitting An Arizona driver license issued after 1996 or an Arizona non-operating identification license. A driver license issued by a state that verifies lawful presence in the United States. Licenses from IL NM UT and WA are not acceptable A birth certificate or delayed birth certificate issued by any state territory or possession of the United States. A foreign passport with a United States visa* An I-94 form with a photograph. refugee travel document. 10. A United States certificate of citizenship* 11. A tribal certificate of Indian blood. 12. A tribal or bureau of Indian affairs affidavit of birth. By my signature below I hereby certify under penalty of perjury that the copy of the document I am providing is a true and accurate copy of the original document and that I am legally authorized to be present in the United States. Only provide one of the following forms of identification mark an X next to the one you are submitting An Arizona driver license issued after 1996 or an Arizona non-operating identification license. A driver license issued by a state that verifies lawful presence in the United States. Licenses from IL NM UT and WA are not acceptable A birth certificate or delayed birth certificate issued by any state territory or possession of the United States. A driver license issued by a state that verifies lawful presence in the United States. Licenses from IL NM UT and WA are not acceptable A birth certificate or delayed birth certificate issued by any state territory or possession of the United States. A foreign passport with a United States visa* An I-94 form with a photograph. refugee travel document. A foreign passport with a United States visa* An I-94 form with a photograph. refugee travel document. 10. A United States certificate of citizenship* 11. A tribal certificate of Indian blood. 12. A tribal or bureau of Indian affairs affidavit of birth. 10. A United States certificate of citizenship* 11. A tribal certificate of Indian blood. 12. A tribal or bureau of Indian affairs affidavit of birth. By my signature below I hereby certify under penalty of perjury that the copy of the document I am providing is a true and accurate copy of the original document and that I am legally authorized to be present in the United States. Only provide one of the following forms of identification mark an X next to the one you are submitting An Arizona driver license issued after 1996 or an Arizona non-operating identification license. A driver license issued by a state that verifies lawful presence in the United States. Licenses from IL NM UT and WA are not acceptable A birth certificate or delayed birth certificate issued by any state territory or possession of the United States. A foreign passport with a United States visa* An I-94 form with a photograph. refugee travel document. .

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