

W2 from US Government or any bureau, division or agency thereof indicating the declared state of residence.2058 – state of legal residence certificate or federal income tax return declaring the primary state of residence.voter registration card displaying a home address.*Primary state of residence is determined by the following types of items:

(example: Texas, New York, Arkansas, Tennessee, Wyoming, California, etc.) Primary state of residence* – the state of a person's declared, fixed, permanent, and principal home for legal purposes domicile. Old or Previous Address for identification purposes.Nursing License Number OR last four digits of your Social Security Number (only U.S.
