California Statement of Citizenship, Alienate and Immigration Status for State Public Benefits (also known as the California Public Benefits Eligibility Verification Form or the "CA-9 Form") is a form that must be completed by anyone who applies for state public benefits in California. It is used to verify the applicant's citizenship, alienate, and immigration status. The form must be completed by anyone who applies for state public benefits, including Gasworks, Afresh, Medical, In-Home Supportive Services, and other state and local benefits. There are three types of California Statement Of Citizenship Alienate And Immigration Status For State Public Benefits: the California Public Benefits Eligibility Verification Form (CA-9 Form), the California Public Benefits Eligibility Verification Form Supplement (CA-9S Form), and the California Public Benefits Eligibility Verification Form Extension (CA-9E Form). The CA-9 Form is used to verify an applicant's citizenship, alienate, and immigration status, while the CA-9S Form is used to verify an applicant's legal presence and identity. The CA-9E Form is used to request an extension of the verification period for an applicant's eligibility for public benefits.