Proof of Age Instructions

The acceptable proofs of age are listed below in two groups. Submit a photocopy of one of the proofs listed in Group I, if you have it, or can possibly obtain it, since this class of proof of age is more convincing.

If you cannot submit a proof in Group I, submit photocopies of two (2) of the proofs listed in Group II. You are cautioned, however, that Naturalization Papers, United States Passports and ImmigrationPapers may not be photocopied. If you are submitting any of these, you must submit the original.Original documents will be returned to you. Additional proofs of age may be requested if thedocuments you submit do not constitute convincing proof of age.

GROUP I – Submit one:

1. Birth Certificate2. Baptismal Certificate or statement as to the date of birth shown by a church record, certified

by the custodian of such record.3. Notification of registration of birth in a public registry of vital statistics4. Passport (U.S. Passports may not be photocopied; submit original)5. Certification of record of age by the U. S. Census Bureau6. Hospital birth record, certified by the custodian of such record7. A foreign church or government record8. A signed statement by the physician or midwife who was in attendance at birth as to the date

of birth shown on their record9. Naturalization record (photocopy not permitted; submit original)10. Immigration papers (photocopy not permitted; submit original)

GROUP II –Submit two:

1. Military record2. School records, certified by the custodian of such record3. Vaccination record, certified by the custodian of such record4. An insurance policy which shows date of birth5. Marriage records showing date of birth or age (application for marriage license or

church record, certified by the custodian of such record, or marriage certificate)6. Other evidence such as signed statements from persons who have knowledge of the date of

birth

rev 8_2016

OPERATING ENGINEERS TRUST FUNDSI.U.O.E. LOCAL 12 HEALTH & WELFARE / PENSION / VACATION / TRAINING

100 CORSON STREET, SUITE 100 · PASADENA, CALIFORNIA 91103 · (866) 400-5200

P.O. BOX 7063, PASADENA, CALIFORNIA 91109

TTY: (626) 356-3582 WEBSITE: www.oefi .org

rev _201

OPERATING ENGINEERS TRUST FUNDS

100 CORSON STREET, SUITE 100 · PASADENA, CALIFORNIA 91103 · (866) 400-5200

P.O. BOX 7063, PASADENA, CALIFORNIA 91109

TTY: (626) 356-3582 WEBSITE: www.oefi .org

I.U.O.E. LOCAL 12 HEALTH & WELFARE / PENSION / VACATION / DCP