Request for Certification of Military or Naval Service

OMB No. 1615-0053 ; Expires 10/31/2011

N-426, Request for Certification
of Military or Naval Service

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

Instructions
NOTE: Type or print clearly with black ink. Be sure this form and the complete return address are legible. Do not leave
any questions unanswered. When appropriate, insert "None," "Not Applicable," or "N/A." For further assistance, contact
the Military Help Line, 1-877-CIS-4MIL (1-877-247-4645) or visit www.uscis.gov/military.

What Is the Purpose of This Form?
This form is for current or former members of the U.S.
Armed Forces who are applying for naturalization under
the Immigration and Nationality Act. Completion and
certification of this form by the applicant and certifying
official will serve as an authenticated certification of
military service.
Failure to provide the information requested, with the
exception of your U.S. Social Security Number (SSN),
may delay a final decision or result in denial of your
Form N-400, Application for Naturalization. Your
application will not be denied for failure to provide your
SSN; however, it may prove difficult to verify your
military service if you do not provide it since military
records are indexed by SSN.

How to File
If you are applying for naturalization under section 328
or 329 of the Immigration and Nationality Act, submit
this form along with:
1. Form N-400, Application for Naturalization; and
2. Copy of Form DD-214, Certificate of Release or
Discharge from Active Duty, or NGB Form 22,
National Guard Report of Separation and Record
of Service.
Refer to "Where to File?" of the filing instructions for
Form N-400.

Authority for Collecting This Information
Our authority for collecting the information requested on
this form is contained in sections 328 and 329 of the
Immigration and Nationality Act (8 U.S.C. 1439
and 1440).
Information solicited that indicates a violation or
potential violation of law, whether civil, criminal, or
regulatory in nature, may be referred as a routine use to
the appropriate agency, whether Federal, State, local, or
foreign, charged with the responsibility of investigating,
enforcing, or prosecuting such violations.
All or part of the information solicited may as a matter
of routine use be disclosed to courts exercising
naturalization jurisdiction and to other Federal, State,
local, and foreign law enforcement and regulatory
agencies, the Department of Defense, including any
component thereof, Selective Service System,
Department of State, Department of the Treasury,
Central Intelligence Agency, Interpol, and individuals
and organizations that process the application for
naturalization, or during the courses of investigations, to
elicit further information required by USCIS to carry out
its functions.
Failure to provide any or all of the solicited information
may delay the naturalization process or result in a failure
to locate military records or prove qualifying military
service.

Form N-426 Instructions (Rev. 08/01/11)Y

USCIS Privacy Act Statement
AUTHORITIES: The information requested on this
form, and the associated evidence, is collected under the
Immigration and Nationality Act, section 101, et seq.
PURPOSE: The primary purpose for providing the
requested information on this form is to determine if you
have established eligibility for the immigration benefit
for which you are filing. The information you provide
will be used to grant or deny the benefit sought.
DISCLOSURE: The information you provide is
voluntary. However, failure to provide the requested
information, and any requested evidence, may delay a
final decision or result in denial of your form.
ROUTINE USES: The information you provide on this
form may be shared with other Federal, State, local, and
foreign government agencies and authorized
organizations following approved routine uses described
in the associated published system of records notices
[DHS-USCIS-007 - Benefits Information System and
DHS-USCIS-001 - Alien File, Index, and National
File Tracking System of Records, which can be found
at www.dhs.gov/privacy]. The information may also be
made available, as appropriate, for law enforcement
purposes or in the interest of national security.

Paperwork Reduction Act
An agency may not conduct or sponsor an information
collection and a person is not required to respond to a
collection of information unless it displays a currently
valid OMB control number. The public reporting burden
for this collection of information is estimated at 20
minutes per response, including the time for reviewing
instructions and completing and submitting the form.
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, Office of the Executive Secretariat,
20 Massachusetts Avenue, N.W., Washington, DC
20529-2020, OMB No. 1615-0053. Do not mail your
application to this address.

Form N-426 Instructions (Rev. 08/01/11)Y Page 2