1. PERSONAL IDENTITY AND VITAL DOCUMENTS

A. FAMILY HISTORY AND CITIZENSHIP

The personal family information provided in this section is essential for many reasons, including filing for government benefits or replacing vital documents. All of the information in these sections is intended to help your family protect their identities in case of identity theft or loss and to help your family in case of death of severe disability. You may wish to include individual pictures of your family members, fingerprints, footprints for infants and possibly dental records or DNA.

The personal family information provided in this section may prove important for many reasons, such as filing for government benefits or replacing vital documents. However, all of the information in this section and possibly in all the other sections is intended to help your family protect their identities in case of identity theft or loss and to help your family in case anyone incurs a severe disability or loss of life. You may wish to include individual pictures of your family members, fingerprints, footprints for infants and possibly dental records or DNA.

B. DOMICILE OR “LEGAL RESIDENCY”

Your state of domicile or “legal residency” (i.e., the state where you intend to return) has critical legal and tax implications. Civilians are generally domiciliaries of the state in which they are living. In contrast, active duty members may be domiciliaries of a state in which they do not currently reside. Unlike civilians, active duty members do not lose their legal residency status simply because they move pursuant to military orders. Therefore, married couples in the military often have different domiciles even when living together. Declaration of an individual’s state of domicile is not required but may prove helpful under some circumstances.

A simple declaration of an individual’s state of domicile is not essential but may prove helpful under some circumstances. Civilians are generally domiciliaries of the state in which they are living. Active duty members do not lose their legal residency status based on moving on military orders. It is therefore common that married couples in the military have different domiciles even when living together.

C. VITAL DOCUMENTS AND IDENTITY

Vital and official documents, such as personal certificates, licenses, degrees, and cards are often relevant in determining the above two matters.

Vital documents include birth and death certificates, marriage licenses, divorce decrees, passports, and other documents issued by official sources. Vital documents should be kept in a safety deposit box or an approved fireproof container. If a vital document is missing or damaged, then it can be replaced. Directions on how to replace documents can be found on this website, http://www.usa.gov/Citizen/Topics/Family_Issues/Vital_Docs.shtml. The information provided in an individual personal statement will be helpful in completing the replacement application. Through this website, the user can obtain copies of birth, death, marriage, or divorce certificates from any state in the US and from some locations abroad.

Official documents include military ID cards, driver’s licenses. and social security cards. There are no fees for Veteran’s requesting a copy of their DD-214. Go to http://www.archives.gov/veterans/evetrecs/index.html. For the closest location to have a military ID card issued, go to: http://www.dmdc.osd.mil/rsl/owa/home.

Part A – FAMILY HISTORY AND CITIZENSHIP

(Each family member should create their own separate statement)

Self

Full Name
Maiden (if applicable)
Birth Date and Location
Marital Status
Date and Location of Marriage
SSN

Spouse

Full Name
Maiden (if applicable)
Birth Date and Location
SSN

Child

Full Name
Birth Date and Location
SSN

Child

Full Name
Birth Date and Location
SSN

Child

Full Name
Birth Date and Location
SSN

Child

Full Name
Birth Date and Location
SSN

Parent: Father

Full Name
Birth Date and Location
Address
Phone Number

Parent: Mother

Full Name
Birth Date and Location
Address
Phone Number

Sibling (Optional)

Full Name
Address
Phone Number

Sibling (Optional)

Full Name
Address
Phone Number


PART B – DOMICILE AND STATUS

The terms "legal residence" and "domicile" are essentially interchangeable. In brief, they are used to denote that place where we have our permanent home and to which, whenever we are absent, we have the intention of returning. The formula for changing a State of legal residence/ domicile is simply stated as follows: physical presence in the new State when you decide to make it your permanent home and to abandonment the old State of legal residence/domicile. The information below is collected to substantiate the ties maintained to a domicile. Always list your state of residency, even if that state has no income tax or does not tax military.

If you notice that you have different States for a number of these items, you may wish to speak to a legal assistance attorney to make sure you are in legal compliance.

Self

Full Name
State of Legal Residence
State Income Tax (check your LES)
Employment Location
State of Voter Registration
State of Drivers License
Military Service and Status
State where you own property
State where you have a will
Local Affiliations (churches, clubs, etc.)

Spouse –include other items listed above

Full Name
State of Legal Residence
State Income Tax
Employment Location
State Voter Registration
State of Drivers License
Military Service and Status
Local Affiliations (churches, clubs, etc.)

Part C – VITAL DOCUMENTS AND IDENTITY

Names of all relevant family members.

Enclose the vital records listed below with this section.

Birth Certificates

Self
Spouse
Child
Child
Child

Social Security Cards

Self
Spouse
Child
Child
Child

Passports

Self
Spouse
Child
Child
Child

Marriage License

Prior Marriage License

Self
Spouse

Military documents (DD214, DD2058, enlistment papers, etc.)

Other (Drivers License, ID Cards, etc.)

Death Certificates

Parent
Parent
Sibling
Sibling
Other
Other
Other

Section 1, Sept. 2009 v.2