Form N-400 Electronic N-400 Electronic Application for Naturalization

Application for Naturalization

MyUSCIS_For_OMB_Review_20160325

Application for Naturalization - Electronic

OMB: 1615-0052

Document [pdf]
Download: pdf | pdf
Application for Naturalization
Becoming a citizen through naturalization:
The application process

Check Your Eligibility
You already checked your eligibility! You may be eligible for citzenship on the
following basis: {You have been a lawful permanent resident for more than 5 years.}

Application for Naturalization (N-400)
The next step is to complete the application itself. Here, we will ask about your
history, family, and character in order to find out whether you are eligible to
become a citizen. Here is what you should know about the form:

$
Cost

Filing Online

Security

If you are under 75, the
application fee is $680.
This includes the $595
standard fee and an
$85 biometric fee. If
you are over 75, there
is no biometric fee, so
the cost is $595.

Submitting this
form online is the
same as mailing in
a completed paper
form, and they both
gather the same
information (and
cost the same).

If you leave your
application inactive for
more than 30 days, we
will delete your data
in order to prevent
storing personal
information indefinitely.

What happens after I apply?

Biometrics appointment
A few weeks after you submit your application, we will contact you to schedule an
appointment at an Application Support Center near you. At the appointment, we
will get your fingerprints, photograph, and signature.

Requests for evidence
If we need more information, we will contact you to ask for other documents. This
can happen before or after your interview.

Interview
After your biometric appointment, we will schedule your interview at a local USCIS
office. At the interview, you will answer questions about your application, then take
the civics and English tests.

Oath of Allegiance
If your application is approved, you are ready to take the oath of allegiance! At your
naturalization ceremony, you will return your Permanent Resident Card, answer
questions about your activity since the interview, take the Oath of Allegiance, and
get your Certificate of Naturalization.

Continue to the application

OMB No. 1615-0052
Expires 3/30/2016

Start your application
Before you start the Application for Naturalization (Form N-400), you may want to gather the documents you will need to
support your application.

2 inch by 2
inch photo

Permanent
Resident Card

Marriage
certificate

Spouse’s
citizenship
documents

The other documents you need will depend on the information you enter in the form (such as your personal history, family,
and circumstances).

Privacy Act Statement
AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality
Act section 334 [8 U.S.C. 1445].
PURPOSE: The primary purpose for providing the requested information on this application is to determine if you have established eligibility
for naturalization. USCIS requests the applicant to provide their Social Security number (SSN) to facilitate and expedite the adjudication of the
applicant’s request. The SSN is used to establish and corroborate the applicant’s identity to complete a sufficient background check. DHS will
use the information you provide to grant or deny the immigration benefit you are seeking.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including the SSN, and any
requested evidence, may delay a final decision in your case or result in denial of your application.
ROUTINE USES: DHS may share the information you provide on this application with other Federal, state, local, and foreign government
agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices
[DHS-USCIS-007 - Benefits Information System and DHSUSCIS-001 - Alien File, Index, and National File Tracking System of Records] which you
can find at www.dhs.gov/privacy. DHS may also share the information, as appropriate, for law enforcement purposes or in the interest of national
security.

Paperwork Reduction Act Burden Disclosure Notice
An agency may not conduct or sponsor information collection, and a person is not required to respond to a collection of information, unless it
displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information
is estimated at 3.5 hours per response, including the time for reviewing instructions, gathering the required documentation and information,
completing the application, preparing statements, attaching necessary documentation, and submitting the application. The collection of
biometrics is estimated to require 1 hour and 10 minutes. 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 Coordination Division
Office of Policy and Strategy
20 Massachusetts Ave NW
Washington, DC 20529-2140
OMB No. 1615-0052. Do not mail your completed Form N-400 to this address.

Reminder
Once you start the application, you’ll need to
complete it in 30 days. After 30 days, we’ll delete
your data in order to prevent storing personal
information indefinitely.

Start your application 

Note:
The form number will not be included
in the header, only the benefit name

What is your basis for eligibility?
I am at least 18 years of age and have been a
lawful permanent resident of the United States for
at least 5 years.
I am at least 18 years of age and have been a
lawful permanent resident of the United States for
at least 3 years. In addition, I have been married to
and living with a U.S. citizen spouse for the last 3
years, and my spouse has been a U.S. citizen for
the last 3 years at the time I filed my Form N-400.
I am at least 18 years of age, I am a lawful
permanent resident of the United States, and I am
the spouse of a U.S. citizen and my U.S. citizen
spouse is regularly engaged in specified
employment abroad.
I am at least 18 years of age and am applying on
the basis of qualifying military service.
Other

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Is anyone helping you fill out this application?
Yes
No

I am using an interpreter.
I am using a preparer.

What is your preparer's full name
Given name (first name)

Family name (last name)

What is your preparer's business or
organization name (if any)?

What is your preparer's mailing address?
Country

Street number and name

City or town

Apt/Ste/Flr

State

Number

ZIP code

Country

What is your preparer's contact information?
Daytime phone number

Mobile phone number (if any)

Email address (if any)

What is your interpreter's full name
Given name (first name)

Family name (last name)

What is your interpreter's business or
organization name (if any)?

What is your interpreter's mailing address?
Daytime phone number
Mobile phone number (if any)
Email address (if any)
I do not have an email address.

Country

Street number and name

City or town

Apt/Ste/Flr

State

Number

ZIP code

Country

What is your interpreter's contact information?
Daytime phone number

Mobile phone number (if any)

Email address (if any)

Other than English, what language is your
interpreter using to interpret this application for
you?

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What is your interpreter's full name?
Given name (first name)

Family name (last name)

What is your interpreter's business or
organization name (if any)?

What is your interpreter's mailing address?
Country

Street number and name

City or town

Apt/Ste/Flr

State

Number

ZIP code

Country

What is your interpreter's contact information?
Daytime phone number

Mobile phone number (if any)

Email address (if any)

Other than English, what language is your
interpreter using to interpret this application for
you?

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Back

What is your preparer's full name?
Given name (first name)

Family name (last name)

What is your preparer's business or
organization name (if any)?

What is your preparer's mailing address?
Country

Street number and name

City or town

Apt/Ste/Flr

State

Number

ZIP code

Country

What is your preparer's contact information?
Daytime phone number

Mobile phone number (if any)

Email address (if any)

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What is your current legal name?
Your current legal name is the name on your birth certificate, unless it
changed after birth by a legal action such as marriage or court order.
Do not provide any nicknames here.
Given name (first name)

Middle name (if applicable)

Family name (last name)

Have you used any other names since birth?
Provide any other names you have used, including nicknames, aliases,
and maiden names.

Yes
No

Given name (first name)

Middle name (if applicable)

Family name (last name)

Would you like to legally change your name?
A court can allow you to change your name when you are
naturalized.
You do not need to request a name change if you legally changed
your name because of marriage or divorce.
We cannot process name change requests for members of the military
or their spouses who are naturalizing overseas.

Yes
No

What is the new full name you would like to
use?
Provide the new full name you would like to use. Any name change
you request here will not be final until you are naturalized.
Given name (first name)

Family name (last name)

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Daytime phone number
Mobile phone number (if any)
Email address (if any)

Middle name (if applicable)

How can we contact you?
Mobile phone number (if any)

Daytime phone number
This is the same as my Mobile phone number.

Evening phone number
This is the same as my Mobile phone number.

Work phone number (if any)

Email address (if any)

What is your current mailing address?
We will send a letter to your mailing address to contact you
throughout the naturalization process. We may not be able to contact
you if you do not provide a complete and valid mailing address.
Country

Street number and name

City or town

Apt/Ste/Flr

State

Number

ZIP code

Country

Instructions for P.O. Box numbers, students, spouses of U.S.
citizens employed abroad, and applicants receiving benefits
under the Violence Against Women Act (VAWA):
Post Office (P.O.) Box numbers: Do not provide a P.O. Box
number unless it is your only address.
Students: If you are still financially dependent on your
parents, you may apply for naturalization either where you go
to school or where your family lives.
Spouses of U.S. citizens employed abroad: If you are
residing outside of the United States, are filing under INA
section 319(b), and want us to collect your biometrics in the
United States, then you must provide an address in the United
States. We will send a letter to that mailing address notifying
you when and where to go for biometrics services.
Applicants receiving benefits under the Violence
Against Women Act (VAWA): If you received benefits
under VAWA, you are not required to disclose the confidential
address of a shelter. If you are residing at a shelter at the time
of filing this application, you may provide a ""safe address""
where you are able to receive mail. If you are not currently
residing in a shelter, but have resided in a shelter for part of the
reporting period, you may provide the city and state of
residence alone.

- Less

Next

Daytime phone number
Mobile phone number (if any)
Email address (if any)
I do not have an email address.

Back

What is your date of birth?
Month

Day

Year

Example: 12 30 1970

What is your country of birth?
Country

Next
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What is your country of citizenship or
nationality?
Provide the name of the country as it currently exists, where you are
currently a citizen or national. If the country no longer exists, use the
current name of the country.
If you are a citizen or national of more than one country, provide the
name of the foreign country that issued your last passport.
If you are stateless, enter the name of the current country where you
were last a citizen or national.
Country

On what date did you become a lawful
permanent resident?
I am not a lawful permanent resident of the United States.
Month

Day

Year

Example: 12 30 1970

Provide the official date when your permanent residence began
as shown on your Permanent Resident Card (formerly known
as the Alien Registration or "Green Card").

- Less

What is your name exactly as it appears on
your permanent residence card?
Provide your name exactly as it appears on your permanent resident
card even if it is misspelled.
The name on my permanent resident card matches my full legal
name.
Given name (first name)

Middle name (if applicable)

Family name (last name)

What is your A-Number?

Your A-Number is located on your Permanent Resident Card
(formerly known as the Alien Registration or "Green Card").
The A-Number on your card consists of a 7, 8, or 9-digit
number, depending on when your card was issued.

- Less

What is your U.S. Social Security Number?
I do not have a U.S. Social Security Number.

What is your USCIS online account number?
The USCIS Online Account Number is not the same as an A-Number.
If you previously filed an application, petition, or request using the
USCIS online filing system, provide the USCIS Online Account
Number you were issued. The USCIS Online Account Number was
previously called the USCIS Electronic Immigration System, (USCIS
ELIS).
You can find your USCIS Online Account Number by logging in to
your account and going to the profile page.
If you previously filed certain applications, petitions, or requests on a
paper form via a USCIS Loc+A1:G262box facility, you may have
received a USCIS Online Account Access Notice issuing you a USCIS
Online Account Number. This number can be found on the top of the
notice.
I do not have a USCIS online account number.

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We require you to complete the categories below to conduct
background checks. Providing this information as part of your
application may reduce the time you spend at your Biometrics
Services Appointment.

What is your gender?
Male
Female

What is your ethnicity?
Hispanic or Lationo
Not Hispanic or Latino

What is your race?
Select all that apply.

White
Asian
Black or African American
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander

What is your race?
Select all that apply.

White

White
A person having origins in any of the original peoples
of Europe, the Middle East, or North Africa.

Asian

Black or African American
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander

Asian
A person having origins in any of the original peoples
of the Far East, Southeast Asia, or the Indian
subcontinent including, for example, Cambodia,
China, India, Japan, Korea, Malaysia, Pakistan, the
Philippine Islands, Thailand, and Vietnam.

Help text appears on
hover and when users
select a race.

Black or African American
A person having origins in any of the black racial
groups of Africa.

American Indian or Alaska Native
A person having origins in any of the original peoples of North
and South America (including Central America), and who
maintains tribal affiliation or community attachment.

Native Hawaiian or Other Pacific Islander
A person having origins in any of the original peoples of the Far
East, Southeast Asia, or the Indian subcontinent including, for
example, Cambodia, China, India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands, Thailand, and Vietnam.

What is your height?
Feet

Inches

What is your weight?
Pounds

What is the color of your eyes?

Black
Blue
Brown
Gray
Green
Hazel
Maroon
Pink
Unknown
Other

What is the color of your hair?

Bald (No Hair)
Black
Blonde
Brown
Gray
Red
Sandy
White
Unknown
Other

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Where do you live now?
I live at my current mailing address

Country

United States
Default = selected
Fields should be prepopulated with user’s
mailing address

Street number and name

Apt/Ste/Flr

Number

123 American Ave
City or town

State

Washington

DC

ZIP code

20002

County

Instructions for P.O. Box numbers, students, spouses of
U.S. citizens employed abroad, and applicants receiving
benefits under the Violence Against Women Act (VAWA):
Post Office (P.O.) Box numbers: Do not provide a P.O.
Box number unless it is your only address.
Students: If you are still financially dependent on your
parents, you may apply for naturalization either where you
go to school or where your family lives.
Spouses of U.S. citizens employed abroad: If you are
residing outside of the United States, are filing under INA
section 319(b), and want us to collect your biometrics in the
United States, then you must provide an address in the
United States. We will send a letter to that mailing address
notifying you when and where to go for biometrics services.
Applicants receiving benefits under the Violence
Against Women Act (VAWA): If you received benefits
under VAWA, you are not required to disclose the
confidential address of a shelter. If you are residing at a
shelter at the time of filing this application, you may provide
a "safe address" where you are able to receive mail. If you
are not currently residing in a shelter, but have resided in a
shelter for part of the reporting period, you may provide the
city and state of residence alone.

When did you move here?
From

Month

Day

Year

Example: 12 30 1970

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This chart will build as
users input their data.
It begins empty and then
re-arranges chronologically
each time the user adds an
address.
This pattern is used on the
following pages:
•

Children

•

Previous marriages

•

Spouse’s previous marriages

•

Military service

•

School / employment

•

Travel outside the US

•

Crimes & Offenses

•

Party Groups & Affiliations

•

Addresses

My Residency Information
You have not yet entered any residency history

Where else have you lived during the last 5
years?
Country

Street number and name

City or town

Apt/Ste/Flr

State

Number

ZIP code

County

When did you live here?
From

To

Month

Day

Year

Month

Day

Year

Example: 12 30 1970

+ Add another address

Next
Back

The chart tracks the
inputted addresses on a
timeline of 5 years.

My Residency Information
2016

2011

Street name and number

01/2015 – 02/2016

Edit ! Delete "

International address field

Where else have you lived during the last 5
years?
Country

Argentina
Street number and name

Apt/Ste/Flr

Number

City or town

Province or Region

Postal Code

When did you live here?
From

To

Month

Day

Year

Example: 12 30 1970

+ Add another address

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Month

Day

Year

In which USCIS field office would you like to
have your naturalization interview?

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Where have you worked and/or attended
school (full time or part time) during the last 5
years?
Provide where and when you have worked or attended school fulltime or part-time during the last 5 years. Include all military, police,
and/or intelligence service and provide information for the complete
time period.
Go
Add a school
Add an employer
Add a period of unemployment
Add a period of self-employment

What is the name of the school?

What was your occupation?
Student should be
autofilled in occupation.

Student

On what dates did you attend this school?
From

Month

To

Day

Example: 12 30 1970

Next
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Year

I am currently attending
this school.

Month

Day

Year

What is the school address?
Country

Street number and name

City or town

State

County

Next
Back

Apt/Ste/Flr

Number

ZIP code + 4

What is the name of your employer?

What was your occupation?

On what dates were you employed here?
I am currently working here.
From

To

Month

Day

Year

Month

Day

Year

Example: 12 30 1970

What is the employer's address?
Country

Street number and name

City or town

Apt/Ste/Flr

State

Number

ZIP code + 4

County

Add a period of unemployment

On what dates were you unemployed?
I am currently unemployed.
From

Month

To

Day

Year

Month

Day

Year

Example: 12 30 1970

Add a period of self-employment

What is the name of your employer?

What was your occupation?

On what dates were you employed here?
I am currently working here.
From

Month

To

Day

Year

Month

Day

Year

Example: 12 30 1970

What is the employer's address?
Country

Street number and name

City or town

State

County

Next
Back

Apt/Ste/Flr

Number

ZIP code + 4

Have you EVER served in the U.S. armed
services?
Yes
No

Are you currently a member of the U.S. armed
forces?
Yes
No

Are you scheduled to deploy overseas,
including to a vessel, within the next three
months?
Yes
No

Are you currently stationed overseas?
Yes
No

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Are you a male who lived in the United States at
any time between your 18th and 26th birthdays?
Yes
No

Did you register for the Selective Service?
Yes
No

On what date did you register for the Selective
Service?on, or deportation proceedings?
Month

Day

Year

Example: 12 30 2015

What is your Selective Service Number?

Why did you not register with the Selective
Service?

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Are you a male who lived in the United States at
any time between your 18th and 26th birthdays?
Yes
No

Did you register for the Selective Service?
Yes
No

Next
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Are you a male who lived in the United States at
any time between your 18th and 26th birthdays?
Yes
No

Did you register for the Selective Service?
Yes
No

On what date did you register for the Selective
Service?
Month

Day

Year

Example: 12 30 1970

What is your selective Service Number?

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Are you a male who lived in the United States at
any time between your 18th and 26th birthdays?
Yes
No

Did you register for the Selective Service?
Yes
No

You must register with the Selective Service
Because you are under the age of 26, you must register before
submitting your application.
Register for the Selective Service
After you register, provide your Selective Service information
below.

On what date did you register for the Selective
Service?
Month

Day

Year

Example: 12 30 1970

What is your selective Service Number?

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Are you a male who lived in the United States at
any time between your 18th and 26th birthdays?
Yes
No

Did you register for the Selective Service?
Yes
No

Why did you not register with the Selective
Service?

Warning
You must provide a Selective Service status information letter.
You can request one here

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List all the trips of 24 hours or longer that you
have taken outside the United States during the
last 5 years.
Provide information for all trips you have taken outside the United
States, including short trips that lasted longer than 24 hours and
visits to Canada and Mexico. We count the day you depart from the
United States and the day you return as days in the United States.

Date you left the United States.
Month

Day

Year

Example: 12 30 2015

Date you returned to the United States.
Month

Day

Year

Example: 12 30 2015

Countries to which you traveled.

I have not left the country in the last 5 years.

+ Add another trip

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Are you requesting an accommodation because
of your disabilities and/or impairments?
We will make every effort to make reasonable accommodations for
applicants with disabilities who need modifications to the
naturalization process in order to demonstrate their eligibility.
• If you use a wheelchair, we will make sure you can be fingerprinted,
interviewed, and sworn in at a location that is wheelchair accessible,
and all domestic USCIS facilities meet the Accessibility Guidelines of
the Americans with Disabilities Act
• If you are unable to travel to a designated USCIS location for an
interview, USCIS may visit you at your home or a hospital to conduct
the naturalization interview
• If you use a service animal such as a guide dog, your animal may
come with you to your interview, oath ceremony, or any other
immigration benefit-related appointment
• If you are blind or have low vision, USCIS may permit you to take a
test orally rather than in writing
• If you are hearing impaired, the officer conducting your interview
will speak loudly and slowly, or we will work with you to arrange for
an American Sign Language interpreter. If you require an American
Sign Language interpreter at the oath ceremony, your interview, or
any other immigration benefit-related appointment, please indicate
that here.

Yes
No

Select any applicable box.
I am deaf or hard of hearing.
I am blind or have low vision.
I have another type of disability and/or impairment.

Select any applicable box.
I am deaf or hard of hearing.
Please explain the accommodation that you are requesting.
If you are requesting a sign-language interpreter, indicate for
which language (for example, American Sign Language).

I am blind or have low vision.
Please explain the accommodation that you are requesting.

I have another type of disability and/or impairment.
Please explain the accommodation that you are requesting.
Describe the nature of your disability and/or impairment and the
accommodation you are requesting.

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You are eligible for an exemption from the
English language test.
You are 50 years old or older and have lived in the United States as a
lawful permanent resident for periods at least 20 years.
You may not have to take the English language test, but you do have to
take the civics test in the language of your choice. If you want this
exemption to the English test, you should bring an interpreter, who is
proficient in English and the language of your choice, with you to your
interview.

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Alternative views
depending on users
eligibility for an exemption
from the English language
test.

You are eligible for an exemption from the
English language test.
You may not have to take the English language test, but you do have to
A1:G262 the civics test in the language of your choice. If you want this
exemption to the English test, you should bring an interpreter, who is
proficient in English and the language of your choice, with you to your
interview.

You are eligible for an exemption from the
English language test. You may also take a
simplified version of the civics test.
You are 65 years old or older and have lived in the United States as a
lawful permanent resident for periods at least 20 years.
You may not have to take the English language test. If you want this
exemption to the English test, you should bring an interpreter, who is
proficient in English and the language of your choice, with you to your
interview.

What is your current marital status?
Your marital status includes annulled marriages, marriages to other
persons, and previous marriages to the same person.

Single, never married
Married
Divorced
Widowed
Separated
Marriage annulled

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What is your current spouse’s legal name?
Your spouse’s legal name is the name on his or her birth certificate,
unless it changed after birth by legal action such as marriage or court
order. Do not provide a nickname here.
Given name (first name)

Family name (last name)

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Middle name (if applicable)

On what date did you marry [spouse name]?
Month

Day

Year

Example: 12 30 1970

What is [spouse name]’s date of birth?
Month

Day

Example: 12 30 1970

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Year

Has [spouse name] ever changed his or her
legal name?
Yes
No

What is [spouse name]’s previous legal name?
Given name (first name)

Middle name (if applicable)

Family name (last name)

Has [spouse name] used any other names since
birth?
Yes
No

Given name (first name)

Middle name (if applicable)

Family name (last name)

What is [spouse name]’s present home
address?
My spouse’s address is the same as my current address.
Country

Street number and name

City or town

State

County

Next
Back

Apt/Ste/Flr

Number

ZIP code

Is [spouse’s name] a U.S. citizen?
Yes
No

When did [spouse name] become a U.S. citizen?
At birth
Other

Date [spouse’s name] became a U.S. citizen
Month

Day

Year

Example: 12 30 1970

What is [spouse name]’s country of citizenship
or nationality?
Provide the name of the country as it currently exists, where your
spouse is currently a citizen or national. If the country no longer
exists, use the current name of the country.
If your spouse is a citizen or national of more than one country,
provide the name of the foreign country that issued his or her last
passport.
If your spouse is stateless, enter the name of the current country
where he or she was last a citizen or national.

What is [spouse name]’s current immigration
status?
Lawful permanent resident
Other

What is your [spouse name]’s A-number?
Spouse name doesn’t have an A-number

A-

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Is [spouse’s name] a current member of the U.S.
armed forces?
Yes
No

Where is [spouse name] currently employed?
[Spouse name] is unemployed

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How many times have you been married?

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What is your prior spouse’s legal name?
Your prior spouse’s legal name is the name on his or her birth
certificate, unless it changed after birth by legal action such as
marriage or court order. Do not provide a nickname here.
Given name (first name)

Family name (last name)

Next
Back

Middle name (if applicable)

When were you married to [prior spouse name]?
From

To

Month

Day

Year

Month

Day

Year

Example: 12 30 1970

How did this marriage end?
Annulled
Divorced
Spouse deceased
Other

What is [prior spouse name]’s date of birth?
Month

Day

Year

Example: 12 30 1970

What is [prior spouse name]’s country of birth?
Provide the name of the country at the time of his or her birth, even if
the name has changed.

Next
Back

What is [prior spouse name]’s country of
citizenship or nationality?
Provide the name of the country as it currently exists, where your
prior spouse is currently a citizen or national. If the country no
longer exists, use the current name of the country.
If your prior spouse is a citizen or national of more than one country,
provide the name of the foreign country that issued his or her last
passport.
If your prior spouse is stateless, enter the name of the current
country where he or she was last a citizen or national.

What was [prior spouse name]’s immigration
status when your marriage ended?
U.S. citizen
Lawful permanent resident
Other
I do not know

Next
Back

What is [spouse name]’s prior spouse’s legal
name?
Your spouse’s prior spouse’s legal name is the name on his or her birth
certificate, unless it changed after birth by legal action such as
marriage or court order. Do not provide a nickname here.
Given name (first name)

Family name (last name)

Next
Back

Middle name (if applicable)

When was [spouse name] married to [current
spouse’s prior spouse]?
From

To

Month

Day

Year

Month

Day

Year

Example: 12 30 1970

How did this marriage end?
Annulled
Divorced
Spouse deceased
Other

What is [current spouse’s prior spouse name]’s
date of birth?
Month

Day

Year

Example: 12 30 1970

What is [current spouse’s prior spouse name]’s
country of birth?
Provide the name of the country at the time of his or her birth, even if
the name has changed.

Next
Back

What is [current spouse’s prior spouse name]’s
country of citizenship or nationality?
Provide the name of the country as it currently exists, where your
spouse’s prior spouse is currently a citizen or national. If the country
no longer exists, use the current name of the country.
If your spouse’s prior spouse is a citizen or national of more than one
country, provide the name of the foreign country that issued his or
her last passport.
If your prior spouse is stateless, enter the name of the current
country where he or she was last a citizen or national.

What is [current spouses prior spouse name]’s
immigration status?
U.S. citizen
Lawful permanent resident
Other
I do not know

Next
Back

How many times has [current spouse name]
been married?

Next
Back

What is your total number of children?
Your children include those who:
• are legally adopted children
• are current stepchildren
• were born in the United States or in other countries
• are under or over 18 years of age
• are currently married or unmarried
• are living with you or elsewhere
• were born when you were not married
You should also include children who are missing or deceased.

Next
Back

What is your child’s legal name?
Your child's legal name is the name on his or her birth certificate,
unless it changed after birth by legal action such as marriage or court
order. Do not provide a nickname here.
Given name (first name)

Middle name (if applicable)

Family name (last name)

Next
Back

My Children
This chart will build as
users input their data.

Child 1

Age

Edit

Delete

It begins empty and then
re-arranges chronologically
each time the user adds
another child.

Child 2

Age

Edit

Delete

This pattern is used on the
following pages:

Child 3

Age

Edit

Delete

•

Children

•

Previous marriages

•

Spouse’s previous marriages

•

Military service

•

School / employment

•

Travel outside the US

•

Crimes & Offenses

•

Party Groups & Affiliations

•

Addresses

What is [child name]’s relationship to you?
Your child's relationship to you includes biological child, stepchild, or
legally adopted child.

My child is missing
My child is deceased

What is [child name]’s date of birth?
Month

Day

Year

Example: 12 30 1970

What is [child name]’s country of birth?
Provide the name of the country at the time of your child's birth, even
if the name has changed.

What is [child’s name]’s current address?
This child lives with me
Country

Street number and name

Apt/Ste/Flr

City or town

State

Number

ZIP code

County

What is [child name]’s A-number?
My child doesn’t have an A-number

A-

Next
Back

My Children
[FIRST NAME]

Age

Edit

Delete

Child 2

Age

Edit

Delete

Child 3

Age

Edit

Delete

Is your mother a U.S. citizen?
Your relationship to your mother may be biological or as a legally
adoptive parent.

Yes
No
You may already be a U.S. Citizen
If your biological or legal adoptive mother or father is a U.S.
citizen by birth, or naturalized before you reached your 18th
birthday, you may already be a U.S. citizen.
Before you continue applying, learn more about the eligibility
requirements for the N-600 Application for Certificate of
Citizenship

What is your mother’s full legal name?
Your mother's legal name is the name on her birth certificate, unless
it changed after birth by legal action such as marriage or court
order. Do not provide a nickname here.
Given name (first name)

Middle name (if applicable)

Family name (last name)

What is your mother’s country of birth?
Provide the name of the country at the time of your mother’s birth,
even if the name has changed.

What is your mother’s date of birth?
Month

Day

Year

Example: 12 30 1970

When did your mother become a U.S. citizen?
Month

Day

Year

Example: 12 30 1970

My mother became a U.S. citizen at birth.
I do not know.

What is your mother’s A-number?
My mother doesn’t have an A-number

A-

Is your father a U.S. citizen?
Your relationship to your father may be biological or as a legally
adoptive parent.

Yes
No

What is your father’s full legal name?
Your father’s legal name is the name on his birth certificate, unless it
changed after birth by legal action such as marriage or court order.
Do not provide a nickname here.
Given name (first name)

Middle name (if applicable)

Family name (last name)

What is your father’s country of birth?
Provide the name of the country at the time of your father’s birth,
even if the name has changed.

What is your father’s date of birth?
Month

Day

Year

Example: 12 30 1970

When did your father become a U.S. citizen?
Month

Day

Year

Example: 12 30 1970

My father became a U.S. citizen at birth.
I do not know.

What is your father’s A-number?
My father doesn’t have an A-number

A-

Were your parents married before your 18th
birthday?
Yes
No

Next
Back

Do you owe any overdue Federal, state, or local
taxes?
Yes
No

Have you EVER not filed a Federal, state, or
local tax return since you became a Lawful
Permanent Resident?
Yes
No

Did you consider yourself to be a “non-U.S.
resident”?
Yes
No

Have you called yourself a "non-U.S. resident"
on a Federal, state, or local tax return since you
became a Lawful Permanent Resident?
Yes
No

Next
Back

Do you now have, or did you EVER have, a
hereditary title or an order of nobility in any
foreign country?
Yes
No

At your naturalization ceremony, are you willing
to give up any inherited titles or orders of
nobility that you have in a foreign country?
Yes
No

Next
Back

Have you EVER registered to vote in any
Federal, state, or local election in the United
States?
Yes
No

Have you EVER voted in any Federal, state, or
local election in the United States?
Yes
No

Next
Back

Answer each question by selecting “Yes” or “No,” where applicable. If
any part of a question applies to you or has ever applied to you, you
must answer “Yes.”
Your answers, whether “Yes” or “No,” will not automatically cause
your application to be denied.

Have you EVER claimed to be a U.S. citizen (in
writing or any other way)?
Yes
No

Please explain.

Next
Back

Have you EVER been declared legally
incompetent or been confined to a mental
institution?
Yes
No

Next
Back

Have you EVER been a member of, or in any
way associated (either directly or indirectly)
with:
The Communist Party?
Yes
No

Any other totalitarian party?
Yes
No

A terrorist organization?
Yes
No

Next
Back

Did you EVER receive any type of military,
paramilitary (a group of people who act like a
military group but are not part of the official
military), or weapons training?
Yes
No

Did you EVER recruit (ask), enlist (sign up),
conscript (require), or use any person under 15
years of age to serve in or help an armed force
or group?
Yes
No

Did you EVER use any person under 15 years of
age to do anything that helped or supported
people in combat?
Yes
No

Next
Back

Did you EVER sell, give, or provide weapons to
any person, or help another person sell, give, or
provide weapons to any person?
Yes
No

Did you know that this person was going to use
the weapons against another person?
Yes
No

Did you know that this person was going to sell
or give the weapons to someone who was
going to use them against another person?
Yes
No

Next
Back

Were you EVER a part of any group, or did
you EVER help any group, unit, or organization
that used a weapon against any person, or
threatened to do so?
Yes
No

When you were part of this group, or when you
helped this group, did you ever use a weapon
against another person?
Yes
No

When you were part of this group, or when you
helped this group, did you ever tell another
person that you would use a weapon against
that person?
Yes
No

Next
Back

Were you EVER a worker, volunteer, or soldier,
or did you otherwise EVER serve in any of the
following:
Prison or jail?
Yes
No

Prison camp?
Yes
No

Detention facility (a place where people are
forced to stay)?
Yes
No

Labor camp (a place where people are forced
to work)?
Yes
No

Any other place where people were forced to
stay?
Yes
No

Next
Back

Were you EVER a member of, or did
you EVER serve in, help, or otherwise
participate in, any of the following groups:
Military unit?
Yes
No

Paramilitary unit (a group of people who act like
a military group but are not part of the official
military)?
Yes
No

Police unit?
Yes
No

Self-defense unit?
Yes
No

Vigilante unit (a group of people who act like
the police but are not part of the official police)?
Yes
No

Rebel group?
Yes
No

Guerrilla group (a group of people who use
weapons against or otherwise physically attack
the military, police, government, or other
people)?
Yes
No

Militia (an army of people, not part of the official
military)?
Yes
No

Insurgent organization (a group that uses
weapons and fights against a government)?
Yes
No

Next
Back

Were you EVER involved in any way with any of
the following:
Genocide?
Yes
No

Torture?
Yes
No

Killing, or trying to kill, someone?
Yes
No

Badly hurting, or trying to hurt, a person on
purpose?
Yes
No

Forcing, or trying to force, someone to have any
kind of sexual contact or relations?
Yes
No

Not letting someone practice his or her religion?
Yes
No

Next
Back

Between March 23, 1933 and May 8, 1945, did
you work for or associate in any way (either
directly or indirectly) with:
The Nazi government of Germany?
Yes
No

Any government in any area occupied by, allied
with, or established with the help of the Nazi
government of Germany?
Yes
No

Any German, Nazi, or S.S. military unit,
paramilitary unit, self-defense unit, vigilante unit,
citizen unit, police unit, government agency or
office, extermination camp, concentration camp,
prisoner of war camp, prison, labor camp, or
transit camp?
Yes
No

Next
Back

Have you EVER advocated (either directly or
indirectly) the overthrow of any government by
force or violence?
Yes
No

Have you EVER persecuted (either directly or
indirectly) any person because of race, religion,
national origin, membership in a particular
social group, or political opinion?
Yes
No

Next
Back

Have you EVER been a member of, involved in,
or in any way associated with any organization,
association, fund, foundation, party, club,
society, or similar group in the United States or
in any other location in the world?
Yes
No

What is the name of the group?

What is the purpose of the group?

On what dates were you a member?
I am currently a member.
From

Month

To

Day

Example: 12 30 1970

Next
Back

Year

Month

Day

Year

Have you EVER given any U.S. Government
officials any information or documentation that
was false, fraudulent, or misleading?
Yes
No

Have you EVER lied to any U.S. Government
officials to gain entry or admission into the
United States or to gain immigration benefits
while in the United States?
Yes
No

Next
Back

Have you EVER:
Been a habitual drunkard?
Yes
No

Been a prostitute or procured anyone for
prostitution?
Yes
No

Sold or smuggled controlled substances, illegal
drugs, or narcotics?
Yes
No

Been married to more than one person at the
same time?
Yes
No

Married someone in order to obtain an
immigration benefit?
Yes
No

Helped anyone to enter, or try to enter, the
United States illegally?
Yes
No

Gambled illegally or received income from
illegal gambling?
Yes
No

Failed to support your dependents or to pay
alimony?
Yes
No

Made any misrepresentation to obtain any
public benefit in the United States?
Yes
No

Next
Back

Answer the questions below to explain the
following response(s).
One explanation may be enough to explain multiple responses.
Add additional explanations as needed.
[Space for a summary of the responses from the previous page]
I have been arrested, cited, or detained by any law enforcement
officer (including any immigration official or any official of the U.S.
armed forces).
I have been convicted of a crime or offense.
I have been charged with committing, attempting to commit, or
assisting in committing a crime or offense.

Arrest, Citation, Detention, Charge, or Offense 1

On what date were you arrested, cited,
detained, or charged?
Month

Day

Year

Example: 12 30 1970

Where were you arrested, cited, detained, or
charged?
City or town, state, country

Why were you arrested, cited, detained, or
charged?

What was the outcome or disposition of the
arrest, citation, detention, or charge?
For example, no charges filed, charges dismissed, jail, probation, etc.

+ Add another explanation

Next
Back

Crimes and Offenses
If any of the questions on this page apply to you, you must
answer "Yes" even if your records have been sealed, expunged,
or otherwise cleared. You must disclose this information even if
anyone, including a judge, law enforcement officer, or attorney,
told you that it no longer constitutes a record or told you that
you do not have to disclose the information.

Have you EVER committed, assisted in
committing, or attempted to commit, a crime or
offense for which you were NOT arrested?
Yes
No

Have you EVER been arrested, cited, or
detained by any law enforcement officer
(including any immigration official or any official
of the U.S. armed forces) for any reason?
Yes
No

Have you EVER been charged with committing,
attempting to commit, or assisting in committing
a crime or offense?
Yes
No

Have you EVER been convicted of a crime or
offense?
Yes
No

Have you EVER been placed in an alternative
sentencing or a rehabilitative program (for
example, diversion, deferred prosecution,
withheld adjudication, deferred adjudication)?
Yes
No

Have you EVER received a suspended
sentence, been placed on probation, or been
paroled?
Yes
No

Have you EVER been in jail or prison?
Yes
No

Warning
Because you answered yes, you must answer additional
questions on the next page.

Next
Back

Have you EVER been removed, excluded, or
deported from the United States?
Yes
No

Have you EVER been ordered removed,
excluded, or deported from the United States?
Yes
No

Have you EVER been placed in removal,
exclusion, rescission, or deportation
proceedings?
Yes
No

Are removal, exclusion, rescission, or
deportation proceedings (including
administratively closed
proceedings) currently pending against you?
Yes
No

Next
Back

Have you EVER been court-martialed,
administratively separated, or disciplined, or
have you received an other than honorable
discharge while in the U.S. armed forces?
Yes
No

Have you EVER been discharged from training
or service in the U.S. armed forces because you
were alien?
Yes
No

Have you EVER left the United States to avoid
being drafted in the U.S. armed forces?
Yes
No

Have you EVER applied for any kind of
exemption from military service in the U.S.
armed forces?
Yes
No

Have you EVER deserted from the U.S. armed
forces?
Yes
No

Next
Back

If the law requires it, are you willing to bear
arms on behalf of the United States?
Yes
No

If the law requires it, are you willing to perform
noncombatant services in the U.S. armed
forces?
Yes
No

If the law requires it, are you willing to perform
work of national importance under civilian
direction?
Yes
No

Next
Back

Do you understand the full Oath of Allegiance
to the United States?
Yes
No

Are you willing to take the full Oath of
Allegiance to the United States?
Yes
No

Next
Back

Do you support the Constitution and form of
Government of the United States?
Yes
No

Next
Back

O

Go to uscis.gov

cial website of the Department of Homeland Security

U.S. Citizenship and
Immigration Services

GETTING STARTED

ABOUT Y OU

N-400 Application for Naturalization

YOUR FAMILY

MORAL CHARACTER

EXPLORE

EVIDENCE

REVIEW & SUBMIT

As part of the naturalization process, you will need to provide evidence
to support your application. These documents help us evaluate your
application and verify your answers are true.
You are required to provide several documents now as part of
submitting your application. You will also need to provide additional
evidence, which you can submit now or bring to your naturalization
interview.

Evidence list

My uploads

Required to submit your application

2” x 2” photo of you

Upload a recent color photograph of yourself that measures 2
inches by 2 inches, with your face measuring 1 inch to 1 3/8
inch from your chin to the top of your head. Your eyes should
be between 1 1/8 inch and 1 3/8 inch from the bottom of the
photo.
Make sure your whole face is visible, you are facing the
camera directly, your head is bare (no hats or scarves), and
the background is white or off-white. Also, include an image
of the back of the photograph with your name and A-number
written in pen or pencil.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Permanent Resident Card

Upload an image of both sides of your Permanent Resident
Card (formerly known as your Alien Registration Card, or
“Green Card”).
Make sure all text is clear and readable. If you have lost the
card, upload a copy of the receipt of your Application to
Replace Permanent Resident Card (Form I-90).

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If Married]

Your marriage certificate

Upload a clear image of your marriage certificate from your
marriage to your current spouse. Make sure the text is
readable.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If current member of U.S Armed Forces:]

Form N-426 (Request for Certification
of Military of Naval Service

Upload a clear image of a completed and certified Form
N-426.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Evidence of Military Service

If you are currently serving in an active duty status within the
United States or abroad, submit a clear image of your official
military orders.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If seperated from military:]

Form N-426 (Request for Certification
of Military of Naval Service

Upload a clear image of an uncertified Form N-426.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Evidence of Military Service

If you ever served in the U.S Armed Forces, provide a
Certificate of Release or Discharge from Active Duty, DD Form
214, for all periods of service.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If military spouse:]

Additional requirements for spouses
of military personnel
Refer to Naturalization Information for Military Personnel
(M-599) for eligibility requirements. You can obtain this
information on the USCIS website at (www.uscis.gov/military.)

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Additional requirements to support
your application
Including these documents now can help make the application
process easier, but you may bring them to your naturalization
interview if you are unable to upload them now.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Tax documents

Tax returns are not required for every application, but we
encourage you to provide them, especially if you are applying
based on marriage to a U.S. citizen or have traveled outside
the United States for 6 months or more.
Upload evidence that you have paid your income taxes to the
IRS for the past [3 OR 5 ] years. You can request copies of
your tax documents from the IRS (http://www.irs.gov). For
example:
• Copies of your income tax returns for the past [3 OR 5 ]
years
• An IRS tax transcript listing tax information for the past
[3 OR 5 ] years
If you have any federal, state, or local taxes that are overdue,
include:
•

•

A signed agreement from the IRS, state, or local tax office
showing you have filed a tax return and arranged to pay
the taxes you owe
Documentation from the IRS, state, or local tax office
showing the current status of your repayment program

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If they have taken a trip lasting 6mo.+(from Travel outside the U.S”]

Evidence that you maintained
residence in the U.S during travel

Upload documents that show you maintained your
continuous residence in the United States during any trips
that lasted more than 6 months. Make sure the text is
readable.
• An IRS tax return transcript or IRS-certified tax return
listing tax information for the last [3 OR 5] years
• Rent or mortgage payments and pay stubs
• Bank, credit card, and loan statements showing regular
transactions
• Proof of car registration and insurance
• Images of your passport showing entry and exit stamps

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If current legal name is different from name on Permanent Resident
Card:]

Documentation of your name change

Upload a readable image of the legal document that formally
changed your name. This can be one of the following:
• Marriage certificate
• Divorce decree
• Court document

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If applying on basis of marriage to US citizen:]

Evidence of your spouse’s U.S. citizenship

Upload a readable image of a document showing that your
spouse has been a citizen for at least 3 years. This can be one
of the following:
• Their birth certificate
• Their Certificate of Naturalization
• Their Certificate of Citizenship
• The inside of the front cover and signature page of your
spouse's current U.S. passport
• Form FS-240, Report of Birth Abroad of a Citizen of the
United States of America

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Evidence about your marriage

Upload documents showing that you and your spouse have
lived as a married couple for at least 3 years. Make sure the
text is readable. This may include the following:
• Joint bank and credit card statements
• Leases or mortgages
• Birth certificates of children
• Insurance policies
• IRS-certified copies of the income tax forms you and your
spouse filed for the past 3 years (or an IRS tax return
transcript for the last 3 years)

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If U.S citizen spouse is stationed abroad:]

Evidence about your spouse’s qualifying
employment abroad

Upload evidence demonstrating your U.S. citizen spouse’s
qualifying employment abroad if you are filing under section
319(b). Such evidence may include:
•

The employer’ name and nature of the employer’s

business
•

The nature of the work the U.S. citizen spouse is

performing
•

Documentation to establish the employing entity is

owned in whole or in part by U.S. interests
•

Documentation to establish the employing entity is

engaged in whole or in part in the development of the foreign
trade and U.S. commerce
In addition, include the following:
•

Your U.S. citizen spouse’s travel orders which include

your name as a spouse
•

Documentation to establish your spouse’s

employment abroad is scheduled to last for at least 1 year
from the date you filed Form N-400
•

A written statement of your intent to reside abroad

with your spouse, and to live in the United States immediately
after your spouse’s employment abroad ends

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If prior marriages:]

Documentation of the end of your prior
marriage(s)
Upload documents showing that your prior marriage[s]
ended. Make sure the text is readable. This can be one of the
following:
• Divorce decree[s]
• Annulment[s]
• Death certificate[s]

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If spouse has prior marriages:]

Documentation of the end of your
spouse’s prior marriage
Upload documents showing that your spouse's prior
marriage[s] ended. Make sure the text is readable. This can be
one of the following:
• Divorce decree[s]
• Annulment[s]
• Death certificate[s]

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[For each child:]

Evidence about [child name]

Upload documentation of your parental relationship to
[child]. Make sure the text is readable. For example:
• Birth certificate
• Court order naming you as their parent
• Final adoption certificate or decree

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[For each dependent child living apart from applicant:]

Evidence about child support

If you have dependent children who live apart from you,
upload documents showing that you support each child, and
that you have complied with child support obligations. Make
sure the text is readable. This may include:
• Images of the court or government order requiring you to
provide financial support
• Cancelled checks or money order receipts
• A court or agency document showing child support
payments
• Evidence of wage garnishments
• A notarized letter from the parent or guardian who cares
for your children

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If registered for Selective Service:]

Selective Service Registration

Provide proof of your registration with the Selective Service.
For more information about Selective Service registration or
how to get proof that you registered, visit www.sss.gov or call
1-888-655-1825.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If NOT registered for Selective Service but should have:]

Selective Service Status

Provide a typed or printed statement explaining why you did
not register for the Selective Service, as well as a status
information letter from the Selective Service. For more
information about Selective Service registration or how to get
proof that you registered, visit www.sss.gov or call
1-888-655-1825.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If arrested, cited, or detained:]

Information about your arrest(s)

If you have ever been arrested or detained anywhere in the
world, by any law enforcement officer, for any reason, and no
charges were filed, upload clear images of these documents:
•

An original or court-certified arrest report

•

An official, certified statement from the arresting

agency or applicable court confirming that no charges were
filed

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If charged with crime or offense AND/OR convicted of crime or
offense:]

Information about your arrest(s) or
convictions

If you have ever been arrested or detained anywhere in the
world, by any law enforcement officer, for any reason, and
charges were filed, upload clear images of these documents:
•

Certified copies of all arrest reports, charging

documents, court dispositions, sentencing reports, and any
other relevant documents
•

You may include any additional evidence in your favor

concerning the circumstances of your arrests or convictions
that you would like USCIS to consider.
•

If you were placed on probation, you must provide

evidence to show that you completed your probationary
sentence.

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If placed in alternative sentencing OR suspended sentence/
probation/parole:]

Information about alternative
sentencing or rehabilitative programs

If you have ever been convicted or placed in an alternative
sentencing program (such as diversion) or rehabilitative
program (such as a drug treatment or community service
program), upload clear images of these documents:
•

An original or court-certified sentencing record for

each incident
•

Evidence that you completed your sentence, such as a

probation record, parole record, or evidence that you
completed an alternative sentencing program or rehabilitative
program. Copies must be certified by the issuing agency

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

[If “yes” to any question in Crimes and Offenses:]

Information about arrest(s) or
conviction(s) removed from your record

If you have ever had any arrest or conviction vacated, set aside,
sealed, expunged, or otherwise removed from your record,
upload clear images of these documents:
•

An original or court-certified court order vacating,

setting aside, sealing, expunging or otherwise removing the
arrest or conviction from your record
•

An original statement from the court that no record

exists of your arrest or conviction
•

NOTE: You must provide the documentation even if

someone including a judge, law enforcement officer, or
attorney told you that you no longer have a record or told you
that you do not have to disclose the information.
NOTE: You must submit documentation of traffic incidents if:
•

The incident involved alcohol or drugs

•

The incident led to an arrest

•

The incident seriously injured another person

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag files here or
choose a file.

Next
Back

RESOURCES

Review your application
Before you submit
Make sure you have answered all the questions that apply to you.
Incomplete sections can slow down the application process.

Getting started

Complete

Basis for eligibility
Preparer and interpreter information
Your name
Contact information
When and where you were born
Immigration information
Requests for accommodations

About you

Complete

Describe yourself
Where you have lived
School and employment
Military service
Selective service
Travel outside the U.S.
Requests for accommodations

Your family

Complete

Marital status
Current spouse
Previous spouse
Current spouse’s marital history
Children
Your parents
Requests for accommodations

Moral character

Complete

Citizenship claims and voting
Legal competency
Party or group affiliations
Crimes and offenses
Immigration proceedings
Military
Attachment to the U.S. Constitution

Evidence

Complete

Evidence

Continue

Preparer's statement
If you are an attorney or accredited representative whose
representation extends beyond preparation of this application, you
must submit a completed Form G-28 Notice of Entry of Appearance as
Attorney or Accredited Representative with this application.

I am not an attorney or accredited representative
but have prepared this application on behalf of the
applicant and with the applicant's consent.
I am an attorney or accredited representative and
my representation of the applicant in this case
does not extend beyond the preparation of this
application.

Preparer's certification
By my signature, I certify, under penalty of perjury, that I prepared
this application at the request of the applicant. The applicant then
reviewed the completed application and informed me that [he or she]
understands all of the information contained in, and submitted with,
[his or her] application, including the Applicant's Certification, and
that all of this information is complete, true, and correct. I completed
this application based only on information that the applicant
provided to me or authorized me to obtain or use.

Preparer's signature
You must sign on paper by viewing and printing the Preparer
Signature page. Sign and date this page before returning it to the
applicant. Once the applicant receives the signed page from you, they
will scan the page and attach it here.
Applicant: Once your preparer signs and returns the Preparer
Signature page to you, scan and attach the document here.

Preparer signature

Download Preparer’s Signature page

Requirements:

Maximum size: 6MB per file
Accepted formats: JPG, PDF, TIFF

Drag file here or
choose a file.

Interpreter’s certification
I certify, under penalty of perjury, that:
I am fluent in English and [language] specified in [Part 13., Item B. in
Item Number 1.], and I have read every question and instruction on
this application and the applicant's answer to every question to the
applicant in the identified language. The applicant informed me that
he or she understands every instruction, question and answer on the
application, including the Applicant's Certification, and has verified
the accuracy of every answer.

Interpreter’s signature

Continue

This screen for
preparer and
interpreter

Applicant's statement regarding the preparer
At my request, [preparer name] prepared this
application for me based only upon information I
provided or authorized.

Applicant's statement regarding the interpreter
[Interpreter name] read to me every question and
instruction on this application and my answer to
every question in [language], a language in which I
am fluent, and I understood everything.

Applicant's certification
Copies of any documents I have submitted are exact photocopies of
unaltered, original documents, and I understand that USCIS may
require that I submit original documents to USCIS at a later date.
Furthermore, I authorize the release of any information from any of
my records that USCIS may need to determine my eligibility for the
immigration benefit that I seek.
I further authorize release of information contained in this
application, in supporting documents, and in my USCIS records, to
other entities and persons where necessary for the administration
and enforcement of U.S. immigration laws.
I understand that USCIS will require me to appear for an
appointment to take my biometrics (fingerprints, photograph, and/or
signature) and, at that time, I will be required to sign an oath
reaffirming that:
1) I reviewed and provided or authorized all of the information in my
application;
2) I understood all of the information contained in, and submitted
with, my application; and
3) All of this information was complete, true, and correct at the time
of filing.
I certify, under penalty of perjury, that I provided or authorized all of
the information in my application, I understand all of the information
contained in, and submitted with, my application, and that all of this
information is complete, true, and correct.

Applicant’s signature

Date of signature
Month

Day

Year

Example: 12 30 1970

Submit

This screen
for self-file

Applicant's statement
I can read and understand English, and I have read
and understand every question and instruction on
this application and my answer to every question.

Applicant's certification
Copies of any documents I have submitted are exact photocopies of
unaltered, original documents, and I understand that USCIS may
require that I submit original documents to USCIS at a later date.
Furthermore, I authorize the release of any information from any of
my records that USCIS may need to determine my eligibility for the
immigration benefit that I seek.
I further authorize release of information contained in this
application, in supporting documents, and in my USCIS records, to
other entities and persons where necessary for the administration
and enforcement of U.S. immigration laws.
I understand that USCIS will require me to appear for an
appointment to take my biometrics (fingerprints, photograph, and/or
signature) and, at that time, I will be required to sign an oath
reaffirming that:
1) I reviewed and provided or authorized all of the information in my
application;
2) I understood all of the information contained in, and submitted
with, my application; and
3) All of this information was complete, true, and correct at the time
of filing.
I certify, under penalty of perjury, that I provided or authorized all of
the information in my application, I understand all of the information
contained in, and submitted with, my application, and that all of this
information is complete, true, and correct.

Applicant’s signature

Date of signature
Month

Day

Year

Example: 12 30 1970

Submit

Pay for and submit your application
The final step to submit your Application for Naturalization (Form
N-400) is to pay the required fee.

Your application fee is: [$680]

We will send you to pay.gov — our safe, secure payment
website — to make your payment and submit your
application online.

Steps to pay for and submit your application:
1

Provide your billing information on Pay.gov

2

Provide your information for one of two billing
options: credit card or bank account

3

Submit your payment

4

Pay.gov will redirect you to my.USCIS.gov to an
application confirmation screen, which will include
your application receipt number

Pay and submit

Once you make your
payment, your application
will be submitted.
Your payment and application submission
may take 1–3 days to be fully processed. You
can track the status of your application in
your myUSCIS account dashboard.

Back

Review your application
You can review all of the questions you answered lorem ipsum dolor,
and then maybe a smiley face.
Expand all

Getting started
About you
Your family
Moral character
Evidence
Continue to your account

Review your application
You can review all of the questions you answered lorem ipsum dolor,
and then maybe a smiley face.
Collapse all

Getting started
Basis for Eligibility
What Country were you born?

United Kingdom

Are you a habitual drunkard?

Yes
Lorem ipsum dolor set, more
explanatory text to accompany.

What is your race?

Native Hawaiian or Other
Pacific Islander

This is a question, arguably the
most important piece of
information on the page.

No

What is your date of birth?

January 24, 1975

Where else have you lived over
the last five years?

November 28, 2002
To

December 24, 2008

Preparer and interpreter information
What Country were you born?

United Kingdom

Are you a habitual drunkard?

Yes
Lorem ipsum dolor set, more
explanatory text to accompany.

What is your race?

Native Hawaiian or Other
Pacific Islander

This is a question, arguably the
most important piece of
information on the page.

No

What is your date of birth?

January 24, 1975

Where else have you lived over
the last five years?

November 28, 2002

Top

To

December 24, 2008

About you
Describe yourself
What Country were you born?

United Kingdom

Are you a habitual drunkard?

Yes
Lorem ipsum dolor set, more
explanatory text to accompany.

What is your race?

Native Hawaiian or Other
Pacific Islander

This is a question, arguably the
most important piece of
information on the page.

No

What is your date of birth?

January 24, 1975

Where else have you lived over
the last five years?

November 28, 2002
To

December 24, 2008

Where you have lived
What Country were you born?

United Kingdom

Are you a habitual drunkard?

Yes
Lorem ipsum dolor set, more
explanatory text to accompany.

What is your race?

Native Hawaiian or Other
Pacific Islander

This is a question, arguably the
most important piece of
information on the page.

No

What is your date of birth?

January 24, 1975

Where else have you lived over
the last five years?

November 28, 2002
Thru

December 24, 2008

Your family
Moral character
Evidence
Continue to your account

Getting started
Basis for Eligibility

Native Hawaiian or Other
Pacific Islander

This is a question, arguably the
most important piece of
information on the page.

No

What is your date of birth?

January 24, 1975

Where else have you lived over
the last five years?

November 28, 2002

headers are sticky
—questions &
answers will scroll

To

December 24, 2008

Preparer and interpreter information
What Country were you born?

United Kingdom

Are you a habitual drunkard?

Yes
Every day around 3:00 pm, I slam
a six pack of Milwaukee’s finest.

What is your race?

Native Hawaiian or Other
Pacific Islander

This is a question, arguably the
most important piece of
information on the page.

No
Top

What is your date of birth?

January 24, 1975

Where else have you lived over
the last five years?

November 28, 2002
To

December 24, 2008


File Typeapplication/pdf
File Title1a_app-overview
AuthorJimmy Chandler
File Modified2016-03-25
File Created2016-03-02

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