Table of Changes

TABLE OF CHANGES – INSTRUCTIONS

FORM N-565, Application for Replacement

Naturalization/Citizenship Document

1615-0091

2/18/2010

LOCATION	CURRENT VERSION	PROPOSED VERSION
Page 1, What is the Purpose of This Form?	This form is used to apply to U.S. Citizenship and Immigration Services (USCIS) for a replacement: 1. Declaration of Intention, or 2. Naturalization Certificate, or 3. Certificate of Citizenship, or 4. Repatriation Certificate, or to 5. Apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.	Form N-565, Application for Replacement Naturalization/Citizenship Document, is used to apply to U.S. Citizenship and Immigration Services (USCIS) for a replacement of: 1. Declaration of Intention; 2. Certificate of Naturalization; 3. Certificate of Citizenship; 4. Repatriation Certificate; or 5. To apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.
Page 1, Who May File This N-565 (New Language…Who May File Form N-565)	You may apply for a replacement: 1. If you have been issued a Naturalization Certificate, Certificate of Citizenship, Declaration of Intention or Repatriation Certificate which has been lost, mutilated, or destroyed, or; 2. If your name has been changed by marriage or by court order after the document was issued and you seek a document in the new name.	You may apply for a replacement: 1. If you have been issued a Certificate of Naturalization, Certificate of Citizenship, Declaration of Intention or Repatriation Certificate which has been lost, mutilated, or destroyed; 2. If your name has been changed by marriage or by court order after the document was issued and you seek a document in the new name; or
Page 1, Translations	Translations. Any document containing foreign language submitted to the Service shall be accompanied by a full English language translation which the translator has certified as complete and accurate, and by the translator's certification that he or she is competent to translate from the foreign language into English.	Translations. Any document containing a foreign language submitted to USCIS shall be accompanied by a full English language translation which the translator has certified as complete and accurate, and by the translator's certification that he or she is competent to translate from the foreign language into English.
Page 1, Photographs (last sentence)	Using pencil or felt pen, lightly print your name and Alien Receipt Number on the back of the photo.	Using pencil or felt pen, lightly print your name and Alien Registration Number on the back of the photo.
Page 2, What Is The Filing Fee?	The filing fee for this Form is $380.00, except there is no fee if you check block 2 (d) of Part 2 of the form. You may submit one check or money order for both the application and other documents you are applying for.	The filing fee for Form N-565 is $380.00, except there is no fee if you check block 2 (d) of Part 2 of the form.

Page 2, What Is The Filing Fee? (number 2 A&B)	2. Make the check or money order payable to U.S. Department of Homeland Security, unless: A. If you live in Guam and are filing your petition there, make it payable to Treasurer, Guam. B. If you live in the U.S. Virgin Islands and are filing your petition there, make it payable to Commissioner of Finance of the Virgin Islands.	2. Make the check or money order payable to U.S. Department of Homeland Security, unless: A. If you live in Guam and are filing your application there, make it payable to Treasurer, Guam. B. If you live in the U.S. Virgin Islands and are filing your application there, make it payable to Commissioner of Finance of the Virgin Islands.
Page 2, How to Check If The Fees Are Correct.	The form and biometric fees on this form are current as the the edition date appearing in the lower right corner of this page. However, because USCIS fees change periodically, you can verify if the fees are correct by following one of the steps below: 1. Visit our website at www.uscis.gov, select "Immigration Forms" check the appropriate fee;	The form fee for this form is current as of the edition date appearing in the lower right corner of this page. However, because USCIS fees change periodically, you can verify if the fee is correct by following one of the steps below: 1. Visit our Web site at www.uscis.gov, select "Check Filing Fees" to check the appropriate fee;
Page 2, Processing Information	Requests for more information or interview. We may request more information or evidence or we may request that you appear at a USCIS office for an interview. We may also request that you submit the originals of any copy. We will return these originals when they are no longer required.	Requests for more information or interview. We may request more information or evidence or we may request that you appear at a USCIS office for an interview. We may also request that you submit the originals of any document. We will return these originals when they are no longer required.
Page 2, USCIS Forms and Information	To order USCIS forms, call our toll-free number at1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at1-800-375-5283 or visiting our internet website at www.uscis.gov.	To order USCIS forms, call our toll-free number at1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at1-800-375-5283 or visiting our internet Web site at www.uscis.gov.
Page 3, Privacy Act (first sentence)	We ask for the information on this form, and associated evidence, to determine if you have established eligibility for the immigration benefit for which you are filing.	We ask for the information on Form N-565, and associated evidence, to determine if you have established eligibility for the immigration benefit for which you are filing.
Page 3, Paperwork Reduction Act (last 2 sentences)	Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Management Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529.OMB No. 1615-0091.	Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Products Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529.OMB No. 1615-0091.

TABLE OF CHANGES – FORM

FORM N-565, Application for Replacement

Naturalization/Citizenship Document

2/18/2010

LOCATION	CURRENT VERSION	PROPOSED VERSION
Page 1, For USCIS Use Only	To Be Completed by Attorney or Representative, if any. Fill in box if G-28 is attached to represent the applicant.	To Be Completed by Attorney or Representative, if any. Fill in box if Form G-28 is attached to represent the applicant.
Page 1, Part 2, Number 1	e. Special Certificate of Naturalization to obtain recognition of my U.S. citizenship by a foreign country.	e. Special Certificate of Naturalization to obtain recognition of my U.S. citizenship by a foreign country. (Skip Number 2 and go to Part 3)
Page 1, Part 2, Number 2	2. Basis for application: (If you checked other than "e" in Part 1, check one)	2. Basis for application: (Refer to the instructions for additional information.)
Page 2, Part 6	Address: Street # and Name Room	Address: Street Number and Name Suite
Page 2, Part 8	Part 8. Signature of person preparing form, if other than above. (Sign below.) I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge.	Part 8. Signature of person preparing form, if other than the Applicant. I declare that I prepared this application at the request of the applicant and it is based on all information of which I have knowledge.

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