MNsure Account Request Form

Option 1. A government-issued ID

Submit a copy of ONE valid, government-issued identification. Common government-issued IDs include driver’s licenses and passports, although many kinds of documents are accepted (a full list is below).

Your ID must:

• Include your name, date of birth, and photo.
• Be issued by a government in the United States or by a foreign government. Although government IDs from outside the U.S. may be accepted, they may require additional time to review, and your request may be delayed.
• Be current and valid. If the document has an expiration date, it must NOT be expired.

Accepted government-issued identity documents include:

• Driver’s license (foreign or domestic)
• Identification card issued by U.S. federal, state or local government, including a Minnesota identification card
• Passport (foreign or domestic)
• Consular ID card and other government-issued identification card (foreign or domestic),
• Military dependent’s identification card
• Military identification card for active duty, reserve or retired personnel, including a Geneva Conventions Identification Card and a Common Access Card (DD Form 2)
• Native American tribal document
• S. Coast Guard Merchant Mariner card
• S. military card or draft record
• Voter registration card issued by a US state or territory
• Prison Identification card (federal or state)
• Order of Supervision (ICE Form I-220A and I-220B)
• One of the following documents issued by US Citizenship and Immigration Services or its predecessors:
  • Certificate of Naturalization (Form N-550, N-570, N-578)
  • Certificate of Citizenship (Form N-560, N-561, N-645)
  • United States Citizen Identification card (Form I-179 or I-197)
  • Permanent Resident or Resident Alien card (Form I-551 or I-151)
  • Employment authorization document with photograph (Form I-688, I-688A, I-688B, or I-766)
  • Northern Mariana card (Form I-873)
  • American Indian card (Form I-872)
  • Re-entry Permit/Refugee Travel Document (I-571)
  • Report of Deportable and Inadmissible Alien (Form I-213)
  • Border Crossing Card
• Canadian naturalization certificate

Option 2. Other documents

If you do not have a valid government-issued ID, you can use a combination of other documents to verify your identity. You must provide copies of TWO of the following documents:

• Birth certificate (foreign or domestic), including Certificate of Birth Abroad or Consular Report of Birth Abroad
• Certificate of Adoption (foreign or domestic) that includes the applicant’s full name and date of birth
• Divorce decree (foreign or domestic)
• Employer identification card
• High school or college diploma (including high school equivalency diploma)
• Marriage certificate (foreign or domestic)
• Property deed or title
• Social Security card
• A document with an individual taxpayer identification number (ITIN) issued by the Internal Revenue Service
• School identification card (with photograph and name)
• Arrival / Departure Record (Form I-94 / I-94A)
• Notice to Report (Form I-385)
• Notice to Appear (Form I-862)