Form N-336 Form N-336 Request for Hearing on a Decision in Naturalization Proc

N-336, Request for a Hearing on a
DRAFT - Not For Production
Decision in Naturalization Proceedings

OMB No. 1615-0050; Expires 01/31/2011

Department of Homeland Security
U.S. Citizenship and Immigration Services

(Under Section 336 of the INA)

For USCIS Only
Decision:

Fee:

Grant
Denial

1. In the Matter of: (Name of Naturalization Applicant)

File Number:

A-

2. I am filing a request for hearing on the decision dated:
3. Please check the one block that applies:
a.

I am not submitting a separate brief, statement, or evidence.

b.

I am submitting a separate brief, statement, and/or evidence with this form.

c.

I need

days to submit a brief, statement, and/or evidence

to the USCIS. (May be granted only for good cause shown. Explain in a separate letter.)

4. Person filing request:
Name (Type or print in black ink.)
Address (Street Number and Name)

(Apt. Number)

(City)

(State)

Signature

Date (mm/dd/yyyy)

(Zip Code)

I am an attorney or representative and I represent the applicant requesting a hearing on a
naturalization proceeding. [You must attach Form G-28, Notice of Entry of Appearance as Attorney or
Representative, if you are an attorney or representative and did not previously submit such a form.]
(Person for whom you are appearing)

5. Briefly state the reason(s) for this request for a hearing:

Form N-336 (Rev. 08/20/10)Y