TN 1 (11-09)
   RM 10210.520 Third Level Evidence of U.S. Citizenship for a U.S. Born Applicant
   
   
   
   Third level evidence of U.S. citizenship
   
   
      - 
         
            • 
               Is an original document and 
 
 
- 
         
            • 
               Is a non-SSA document established for a reason other than to establish U.S. citizenship
                  and shows a U.S. place of birth and 
 
 
- 
         
            • 
               Is satisfactory ONLY when primary and secondary level evidence are not readily available
                  and the applicant alleges being born in the U.S and there is nothing indicating the person is not a U.S. citizen (e.g., lost U.S. citizenship).
                
 
 
If third level evidence is not readily available, develop for fourth level evidence.
      “Readily available” evidence can be obtained in 10 working days.
   
   
   
      
         
            
            
         
         
            
            
               
               | Document | Explanation, Rules, and References | 
         
         
            
            
               
               | U.S. hospital birth record established at the time of birth | Hospital records must show 
                     
                        
                           • 
                              a U.S. place of birth, and
                        
                      NOTE: Generally, a souvenir “birth certificate” (e.g., keepsake) is not considered evidence
                     of citizenship but indicates preferred evidence may exist. For more information on
                     hospital birth records, see GN 00302.530C. | 
            
               
               | U.S. medical record from: | Medical records must 
                     
                        
                           • 
                              show a U.S. place of birth, and
                        
                      NOTE: An immunization record is not considered a medical record for purposes of establishing
                     U.S. citizenship.
                   | 
            
               
               | U.S. institutional admission paper(s) from: 
                     
                        
                     
                        
                           • 
                              Skilled care facility; or
                        
                      | Admission paper(s) must show a U.S. place of birth. | 
            
               
               | U.S. life, health or other insurance record | The insurance record must show 
                     
                        
                           • 
                              a U.S. place of birth, and
                        
                      NOTE: For an adult, the insurance record must show an issue date at least 5 years prior
                     to applying for an SSN. For an applicant under age 18, the insurance record must show
                     an issue date shortly after birth.
                   |