Application for Naturalization - Electronic

Application for Naturalization

Copy of N400 interactive form copy_OMB_2016-06-08_DS clean.xlsx

Application for Naturalization - Electronic

OMB: 1615-0052

Document [xlsx]
Download: xlsx | pdf

Overview

Application Overview
Getting Started
About You
Your Family
Moral Character
Evidence
Review & Submit


Sheet 1: Application Overview

N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY


Conditional logic is indicated in ( )
Personalized copy is indicated in [ ]





Step Section Instructional Text
Notes Comment Author Comment myUSCIS Response
Becoming a citizen through naturalization: The application process Eligibility (IF USER REACHED THE END OF THE ELIGIBILITY TOOL AND RECEIVED A 'YOU MAY BE ELIGIBLE' CONFIRMATION SCREEN) You may be eligible for naturalization because [eligibility basis].

If you think this eligibility basis is incorrect, you can change it after you start your application.

(IF USER SKIPS ELIGIBILITY TOOL OR RECEIVED A 'YOU MAY NOT BE ELIGIBLE' CONFIRMATION SCREEN) You will need to select your basis for eligibility after you start your application.

See the eligibility tool Excel doc for Basis of Eligibility copy

Military eligibility paths are not in the initial release for e-filing
DPC On the military path, do we need a line that says that they are not included in the e-filing currently? That means they have to do a paper form? If a user completes the eligiblity tool and receives a military path, the confirmation message says they cannot e-file at this time. If a user does not complete the eligibility tool, and proceeds to the N-400 interactive form, if they select a military basis they receive a similar message.

Cost If you are under 75 years old, the application fee is $680. This includes the $595 standard fee plus an $85 biometrics service fee. If you are 75 years or older, there is no biometrics fee, so the fee is $595.





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





Security If you do not work on your application for more than 30 days, we will delete your data in order to prevent storing personal information indefinitely. If your data are deleted, you can restart the application at any time.

DPC "Can we say something like: If your application is deleted, you can begin your application process using this tool again." Not wedded to the language but want people to know that they start the process over again electronically. Fixed
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.





Request for evidence If we need more information, we will contact you by email and through a written notice in the mail to ask for other documents. This may happen before or after your interview.





Interview After your biometrics appointment, we will schedule your interview at a local USCIS field office (unless you qualify for a special accommodation). At the interview, you will answer questions about your application, then take the civics and English tests if required.





Oath of Allegiance Once your application is approved, you will be 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.

DPC Suggest changing this language to "Once your application is approved, you will be ready to take the oath of allegiance!" Fixed
Start your application
Before the start of the Application for Naturalization (N-400), you may want to gather the documents you will need to support your application.

The other documents you need will depend on the information your provide in the application 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 If you do not work on your application for more than 30 days, we will delete your data in order to prevent storing personal information indefinitely.





Sheet 2: Getting Started

N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Instructional text: Text that appears directly below a question and provides instructions for answering the question. (In some cases, like in the Crimes and Offenses section, instructional text may appear above a set of questions.)
Help text: Text that appears below or next to an input field, partially hidden. Users can click to expand. Provides additional contextual or clarifying information about a question.
Question grouping page breaks are indicated by a horizontal line
Conditional question logic is indicated in ( ) before question
Personalized copy is indicated in [ ]

Step Section Paper Form Question # Question Sub-Question Field Type Not Required Instructional Text Help Text Notes
Getting Started Basis for eligibility




Before you start your application, here are a few things to know

1. Make sure you are applying with the right basis for eligibility, either by using the basis shown or selecting your basis from the list of options on the next page.

2. You should answer all questions in the Getting Started section first so we can best customize the rest of your application experience.

3. You should provide as many responses as you can througout the application, to the best of your knowledge. Incomplete fields or sections and missing information can slow down the process after you submit your application.

4. We will automatically save your information when you select next to go to a new page or navigate to another section of the application. We will save your information for 30 days from today, or from the last time you worked on your application.









Information about your eligibility

The basis for eligibility shown here reflects your answers to questions about your lawful permanent residency, age, and other factors. If this statement is not accurate, or you chose not to determine your eligibility, you can change your basis of eligibility here.

We will have an eligibility path preselected; we will not present each basis for eligibility to users unless they want to manually select their eligibility basis



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 Radio







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. Radio







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 Radio







I am at least 18 years of age and am applying on the basis of qualifying military service Radio







Other Radio







(IF OTHER) Provide an explanation. Text




Preparer and interpreter information
Is someone assisting you with completing this application? Yes/No Radio






(IF YES) Is a preparer assisting you with completing this application? Yes/No Radio
A preparer is anyone who completes or helps you complete all or part of your application using information and answers that you provide. DPC: Can we add language that explains what a preparer is? Some people may not understand what this term means. Fixed



(IF YES) Is an interpreter assisting you with completing this application? Yes/No Radio





15.1a What is your preparer's full name? Given name (first name) Text





15.1b
Family name (last name) Text





15.2 What is your preparer's business or organization name?
Text







My preparer is not part of a business or organization. Checkbox





15.3 What is your preparer's mailing address? Country Text







Address line 1 Text







Address line 2 Text X






City or town Text







State Dropdown







ZIP code Text





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





15.5
Mobile phone number Text







My preparer does not have a mobile phone number. Checkbox





15.6
Email address Text







My preparer does not have an email address. Checkbox





14.1a What is your interpreter's full name? Given name (first name) Text





14.1b
Family name (last name) Text





14.2 What is your interpreter's business or organization name?
Text







My interpreter is not part of a business or organization. Checkbox





14.3 What is your interpreter's mailing address? Country Text







Address line 1 Text







Address line 2 Text X






City or town Text







State Dropdown







ZIP code Text






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







Mobile phone number Text







My interpreter does not have a mobile number. Checkbox







Email address Text







My interpreter does not have an email address. Checkbox






What language is your interpreter using to interpret this application for you?
Text


This answer will be used to populate the language being interpreted in statements/questions in the Interpreter signature section in Review & Submit

Your name 2.1.b What is your current legal name? Given name (first name) Text
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.



2.1.c
Middle name (if applicable) Text X




2.1.a
Family name (last name) Text






Have you used any other names since birth? Yes/No Radio
Other names used may include nicknames, aliases, and maiden names.



2.3.b (IF YES) Given name (first name) Text
Provide the other names you have used.



2.3.c
Middle name (if applicable) Text X




2.3.a
Family name (last name) Text





2.4 Would you like to legally change your name? Yes/No Radio
A court can allow you to change your name at your naturalization oath ceremony.

You do not need to request a name change if you legally changed your name because of marriage, divorce, or other court order.

We cannot process name change requests for members of the military or their spouses who are naturalizing overseas.




2.4.b (IF YES) What new name would you like to use? Given name (first name) Text
Provide the new full name you would like to use. Any name change you request here will not be final until you become a U.S. citizen.



2.4.c
Middle name (if applicable) Text X




2.4.a
Family name (last name) Text




Your contact information 4.4 How can we contact you? Mobile phone number Text







I am deaf or hard of hearing and need TTY assistance. Checkbox





4.1
Daytime phone number Text







This is the same as my mobile phone number. Checkbox





4.3
Evening phone number Text







This is the same as my mobile phone number. Checkbox





4.2
Work phone number Text







This is the same as my mobile phone number. Checkbox





4.5
Email address Text





5.1.b What is your current mailing address? In care of name (if any) Text X
Provide a name if someone else is receiving your mail for you at your current mailing address. Use "I" help text style




Country Dropdown
We will use your current 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 address. 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.

Domestic Violence Victims

If you are a victim of domestic violence , you are not required to disclose the confidential address of a shelter or safe house. If you are residing at a shelter or safe house at the time of filing this application or you do not feel safe providing your current address, 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.



5.1.b
Address line 1 Text





5.1.b
Address line 2 Text X




5.1.b
City or town Text





5.1.b
State/Province or region (FOR FOREIGN ADDRESS) Text





5.1.b
ZIP code/Postal code (FOR FOREIGN ADDRESS) Text





5.1.b
County Dropdown X



When and where you were born 2.8 What is your date of birth? Month/Day/Year Date







This is an approximate date. Checkbox





2.1 What is your country of birth? Country Text




Your immigration information 2.11 What is your country of citizenship or nationality?
Text
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.




2.9 On what date did you become a lawful permanent resident? Month/Day/Year Date
Provide the official date when your permanent residence began as shown on your Permanent Resident Card (formerly known as the Alien Registration Card or referred to as the Green Card).

The date may be located on the front or back of the card, depending on when the card was issued.

[sample LPR card image]




2.2.b What is your name exactly as it appears on your permanent residence card? Given name (first name) Text
Provide your name exactly as it appears on your Permanent Resident Card, even if it is misspelled.



2.2.c
Middle name (if applicable) Text X




2.2.a
Family name (last name) Text







The name on my permanent resident card matches my current legal name. Checkbox





Part 1 What is your A-Number?
Text
Your A-Number is located on your Permanent Resident Card (formerly known as the Alien Registration Card or referred to as the Green Card), and consists of a 7, 8, or 9-digit number.

The A-Number may be located on the front or back of the card, depending on when the card was issued.

[sample A-Number card image]




2.5 What is your U.S. Social Security number?
Text







I do not have a U.S. Social Security number. Checkbox





2.6 What is your USCIS Online Account Number?
Text
You can find your USCIS Online Account Number by signing in to your account and going to your profile page.

If you previously filed an application, petition, or request using the USCIS online filing system, provide the USCIS Online Account Number you were issued.

If you previously filed certain applications, petitions, or requests on a paper form via a USCIS Lockbox facility, you may have received a USCIS Online Account Access Notice issuing you a USCIS Online Account Number. You can find this number at the top of the notice.

The USCIS Online Account Number is not the same as an A-Number. The USCIS Online Account Number was previously called the USCIS Electronic Immigration System (USCIS ELIS) Number.






I do not have a USCIS Online Account Number. Checkbox





1.c (IF ELIGIBILITY=319.B) In which USCIS field office would you like to have your naturalization interview?
Dropdown

This is conditional based on eligibility; user will be able to search for offices by state











Sheet 3: About You

N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Instructional text: Text that appears directly below a question and provides instructions for answering the question. (In some cases, like in the Crimes and Offenses section, instructional text may appear above a set of questions.)
Help text: Text that appears below or next to an input field, partially hidden. Users can click to expand. Provides additional contextual or clarifying information about a question.
Question grouping page breaks are indicated by a horizontal line
Conditional question logic is indicated in ( ) before question
Personalized copy is indicated in [ ]

Step Section Paper Form Question # Question Sub-Question Field Type Not Required Instructional Text Help Text Notes
About You Describe yourself




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.



2.7 What is your gender? Male/Female Radio





7.1 What is your ethnicity? Hispanic or Latino
Not Hispanic or Latino
Radio
Hispanic or Latino refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.



7.2 What is your race? White  Checkbox
Select all that apply. Your race is different from your ethnicity and should reflect your geographical origins. White

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







Asian  Checkbox

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.





Black or African American  Checkbox

Black or African American

A person having origins in any of the black racial groups of Africa.





American Indian or Alaska Native  Checkbox

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  Checkbox

Native Hawaiian or Other Pacific Islander

A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.



7.3 What is your height? Feet/Inches Text





7.4 What is your weight? Pounds Text





7.5 What is the color of your eyes? Black/Blue/Brown/Gray/Green/Hazel/Maroon/Pink/ Unknown/other Dropdown





7.6 What is the color of your hair? Bald (no hair)/Black/Blonde/Brown/Gray/Red/Sandy/White/ Unknown/other Dropdown




Where you have lived 5.1.a Where do you live now? I live at my current mailing address. Checkbox





5.1.a
Country Dropdown





5.1.a
Address line 1 Text





5.1.a
Address line 2 Text X




5.1.a
City or town Text





5.1.a
State/Province or region (FOR FOREIGN ADDRESS) Text





5.1.a
ZIP code/Postal code (FOR FOREIGN ADDRESS) Text





5.1.a
County Text X





When did you move here? From Date







This is an approximate date. Checkbox





5.1.c Where else have you lived during the last 5 years? Country Dropdown





5.1.c
Address line 1 Text





5.1.c
Address line 2 Text X




5.1.c
City or town Text





5.1.c
State/Province or region (FOR FOREIGN ADDRESS) Text





5.1.c
ZIP code/Postal code (FOR FOREIGN ADDRESS) Text





5.1.c
County Text X




5.1.c When did you live here? From/To Date







This is an approximate date. Checkbox










(ON LAST PAGE ABOVE SUMMARY CHART OF RESIDENCE HISTORY) Here is a history of where you have lived during the last 5 years. If anything is incorrect or missing, you can edit or delete your entries below or add a new address.


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



8.1 Add school







8.1 What is the name of the school?
Text





8.1 What was your occupation?
Text


Prepopulates as Student


8.1 On what dates did you attend this school? From/To Date







This is an approximate date. Checkbox





8.1
I currently attend this school. Checkbox





8.1 What is the school's address? Country Text





8.1
Address line 1 Text





8.1
Address line 2 Text X




8.1
City or town Text





8.1
State/Province or region (FOR FOREIGN ADDRESS) Dropdown





8.1
ZIP code/Postal code (FOR FOREIGN ADDRESS) Text





8.2 Add employer







8.2 What is the name of the employer?
Text





8.2 What was your occupation?
Text





8.2 On what dates were you employed here? From/To Date







This is an approximate date. Checkbox





8.2
I currently work here. Checkbox





8.2 What is the employer's address? Country Text





8.2
Address line 1 Text





8.2
Address line 2 Text X




8.2
City or town Text





8.2
State/Province or region (FOR FOREIGN ADDRESS) Dropdown





8.2
ZIP code/Postal code (FOR FOREIGN ADDRESS) Text





8.3 Add unemployment
Text





8.3 On what dates were you unemployed? From/To Date







This is an approximate date. Checkbox





8.3
I am currently unemployed. Checkbox





8.4 Add self-employment







8.4 What is the name of the employer?
Text


Prepopulates as Self-employed


8.4 What was your occupation?
Text





8.4 On what dates were you self-employed here? From/To Date







This is an approximate date. Checkbox





8.4
I am currently self-employed. Checkbox





8.4 What is the business address? Country Text





8.4
Address line 1 Text





8.4
Address line 2 Text X




8.4
City or town Text





8.4
State/Province or region (FOR FOREIGN ADDRESS) Dropdown





8.4
ZIP code/Postal code (FOR FOREIGN ADDRESS) Text





8.4



(ON LAST PAGE ABOVE SUMMARY CHART OF SCHOOL/EMPLOYMENT HISTORY) Here is a history of your school and employment. If anything is incorrect or missing, you can edit or delete your entries below or add a new school or employer.


Military service 12.37 Have you EVER served in the U.S. armed forces? Yes/No Radio





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





12.38.b (IF YES) Are you scheduled to deploy overseas, including to a vessel, within the next three months? Yes/No Radio





12.38.c (IF YES) Are you currently stationed overseas? Yes/No Radio




Selective service 12.44.a Are you a male who lived in the United States at any time between your 18th and 26th birthdays? Yes/No Radio
This does not include living in the United States as a lawful nonimmigrant.




(IF YES TO 12.44.a) Did you register for the Selective Service? Yes/No Radio





12.44.b (IF YES TO BOTH) On what date did you register for the Selective Service?
Text







This is an approximate date. Checkbox





12.44.b (IF YES TO BOTH) What is your Selective Service Number?
Text





12.44.b (IF YES TO 12.44.a & NO TO DID YOU REGISTER & ≥ 18 < 26) On what date did you register for the Selective Service?
Text





12.44.b (IF YES TO 12.44.a & NO TO DID YOU REGISTER & ≥ 18 < 26) What is your Selective Service Number?
Text






(IF YES TO 12.44.a & NO TO DID YOU REGISTER & ≥ 26) Why did you not register with the Selective Service?
Text


Wendy G (OPS RND)

Travel outside the U.S. 9.2 Have you taken a trip outside of the United States in the last 5 years? Yes/No Radio
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.



9.3 List all trips of 24 hours or longer that you have taken outside the United States during the last 5 years. Date you left the U.S. Date
We count the day you depart from the United States and the day you return to the United States as days in the United States.



9.3
Date you returned to the U.S. Date






I am currently traveling here.
Checkbox





9.3
Countries you traveled to Textarea










(ON LAST PAGE ABOVE SUMMARY CHART OF TRAVEL HISTORY) Here is your travel history. If anything is incorrect or missing, you can edit or delete your entries below or add a new trip.



9.3
[Total days outside of the United States (per trip)]



Total days outside the U.S. will be tracked in chart summary and in the backend


9.3
[Total days of 24 hours or longer spent outside the United States during the last 5 years]



Will be tracked in the backend


9.1
[Total trips of 24 hours or longer taken outside the United States during the last 5 years]



Will be tracked in the backend

Requests for accommodations 2.12 Do you have a physical or developmental disability or mental impairment that prevents you from demonstrating your knowledge and understanding of the English language and/or civics requirements for naturalization? Yes/No Radio
If you want to apply for a disability exception, your disability or impairment must affect your ability to read, write, or speak the English language or learn U.S. civics, even with accommodations. Your disability must have affected you for at least 1 year or be expected to last longer than 1 year. If you qualify for a disability exception, an interpreter who is fluent in English and the language of your choice must come with you to your interview.

You cannot qualify for a disability exception based on illiteracy.




3.1 Are you requesting an accommodation because of your disabilities and/or impairments? Yes/No Radio
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. 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 a sign language interpreter. If you require a sign language interpreter at the oath ceremony, your interview, or any other immigration benefit-related appointment, please indicate that here.




3.1.a (IF YES) Select all that apply. I am deaf or hard of hearing. Checkbox





3.1.a
Provide an explanation for the accommodation that you are requesting. If you are requesting a sign-language interpreter, indicate for which language (for example, American Sign Language). Textarea





3.1.b
I am blind or have low vision. Checkbox





3.1.b
Provide an explanation for the accommodation that you are requesting. Textarea





3.1.c
I have another type of disability and/or impairment (for example, wheelchair). Checkbox





3.1.c
Provide an explanation for the accommodation that you are requesting. Describe the nature of your disability and/or impairment. Textarea





2.13.a You may be eligible for an exemption from the English language test You may not have to take the English language test because you are 50 years of age or older and have lived in the United States as a lawful permanent resident for periods totaling at least 20 years. However, you still have to take the U.S. civics test, but can take it in the language of your choice.

If you want to use 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 naturalization interview.
Notice


These alerts will be presented to eligible users during the Review My Application step in Review & Submit


2.13.b You may be eligible for an exemption from the English language test You may not have to take the English language test because you are 55 years of age or older and have lived in the United States as a lawful permanent resident for periods totaling at least 15 years. However, you still have to take the U.S. civics test, but can take it in the language of your choice.

If you want to use 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 naturalization interview.
Notice





2.13.c You may be eligible for an exemption from the English language test and a simplified version of the U.S. civics test You may not have to take the English language test because you are 65 years or age or older and have lived in the United States as a lawful permanent resident for periods totaling at least 20 years.

If you want to use 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 naturalization interview.

You may also be eligible to take a simplified version of the U.S. civics test. This will be offered to you in the language of your choice during your naturalization interview.
Notice




Sheet 4: Your Family

N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Instructional text: Text that appears directly below a question and provides instructions for answering the question. (In some cases, like in the Crimes and Offenses section, instructional text may appear above a set of questions.)
Help text: Text that appears below or next to an input field, partially hidden. Users can click to expand. Provides additional contextual or clarifying information about a question.
Question grouping page breaks are indicated by a horizontal line
Conditional question logic is indicated in ( ) before question
Personalized copy is indicated in [ ]

Step Section Paper Form Question # Question Sub-Question Field Type Not Required Instructional Text Help Text Notes
Your Family Marital status 10.1 What is your current marital status? Single, never married/Married/Divorced/Widowed/Separated/Marriage annulled Radio


Single, never married goes to Children section;
Married and Separated goes to Current spouse section;
Divorced, Widowed, and Marriage annulled go to second page of Your marital history section

Current spouse 10.4.Ab (IF YES TO MARRIED OR SEPARATED) What is your current spouse's legal name? Given name (first name) Text
Your spouse's legal name is the name on his or her birth certificate, unless it changed after birth by a legal action such as marriage or court order. Do not provide a nickname here.
Sub-section does not appear in navigation unless users say they are Married or Separated; sub-section never appears for users if they are Divorced, Widowed, or Marriage annulled


10.4.Ac
Middle name (if applicable) Text X




10.4.Ac
Family name (last name) Text





10.4.e On what date did you marry [spouse name]?
On what date did you marry your current spouse?
Month/Day/Year Date







This is an approximate date. Checkbox





10.4.d What is [current spouse first name]'s date of birth?
What is your current spouse's date of birth?
Month/Day/Year Date







This is an approximate date. Checkbox





10.4.B Has [current spouse first name] ever used a previous legal name?
Has your current spouse ever used a previous legal name?
Yes/No Radio





10.4.Bb (IF YES) Given name (first name) Text
Provide the previous legal name your current spouse has used.



10.4.Bc
Middle name (if applicable) Text X




10.4.Ba
Family name (last name) Text





10.4.C Has [current spouse first name] used any other names since birth?
Has your current spouse used any other names since birth?
Yes/No Radio
Other names used may include nicknames, aliases, and maiden names.



10.4.Cb (IF YES) Given name (first name) Text
Provide the other names your current spouse has used.



10.4.Cc
Middle name (if applicable) Text X




10.4.Ca
Family name (last name) Text





10.4.f What is [current spouse first name]'s current address?
What is your current spouse's current address?








10.4.f
My spouse's current address is the same as my current address. Checkbox





10.4.f
Country Text





10.4.f
Address line 1 Text





10.4.f
Address line 2 Text X




10.4.f
City or town Text





10.4.f
State/Province or region (FOR FOREIGN ADDRESS) Dropdown





10.4.f
ZIP code/Postal code (FOR FOREIGN ADDRESS) Text





10.4.f
County Text X




10.5 Is [current spouse first name] a U.S. citizen?
Is your current spouse a U.S. citizen?
Yes/No Radio





10.6.a (IF YES) When did [current spouse first name] become a U.S. citizen?
(IF YES) When did your current spouse become a U.S. citizen?
At birth/Other Dropdown





10.6.b
Date your current spouse became a U.S. citizen Date







This is an approximate date. Checkbox





10.7.a (IF NO) What is [current spouse first name]'s country of citizenship or nationality?
(IF NO) What is your current spouse's country of citizenship or nationality?

Text
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.




10.7.c (IF NO) What is [current spouse first name]'s current immigration status?
(IF NO) What is your current spouse's current immigration status?
Lawful permanent resident/Other Radio





10.7.c
(IF OTHER) (IF YES) Provide an explanation. Textarea





10.7.b (IF NO) What is [current spouse first name]'s A-Number?
(IF NO) What is your current spouse's A-Number?

Text
Your spouse's A-Number is located on his or her Permanent Resident Card (formerly known as the Alien Registration Card or referred to as the Green Card), and consists of a 7, 8, or 9-digit number. The A-Number may be located on the front or back of the card, depending on when the card was issued.

[sample A-Number card image]





My spouse does not have an A-Number. Checkbox





10.2 Is [current spouse first name] a current member of the U.S. armed forces?
Is your current spouse a current member of the U.S. armed forces?
Yes/No Radio





10.4.g Where is [current spouse first name] currently employed?
Where is your current spouse currently employed?

Text







My spouse is currently unemployed. Checkbox




Your prior marriages 10.3 [How many times have you been married?] Have you been married previously? Yes/No Radio
Include annulled marriages, marriages to other people, and marriages to the same person.
The question on the paper form is: How many times have you been married? The interactive form logic will automatically total this number as the users add their marital history and store this number in the backend

Sub-section does not appear in navigation until users say they are Married, Separated, Divorced, Widowed, or Marriage annulled


10.9.Ab (IF YES TO DIVORCED, WIDOWED, OR MARRIAGE ANNULLED; OR YES TO HAVE YOU BEEN MARRIED PREVIOUSLY?) What is your prior spouse's legal name? Given name (first name) Text
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.



10.9.Aa
Middle name (if applicable) Text X




10.9.Ac
Family name (last name) Text





10.9.f When were you married to [prior spouse first name]?
When were you married to your prior spouse?
From/To Date







This is an approximate date. Checkbox





10.9.g How did this marriage end? Annulled/Divorced/Spouse deceased/Other Radio







(IF OTHER) Provide an explanation. Textarea





10.9.c What is [prior spouse first name]'s date of birth?
What is your prior spouse's date of birth?
Month/Day/Year Date







This is an approximate date. Checkbox





10.9.d What is [prior spouse first name]'s country of birth?
What is your prior spouse's country of birth?

Text
Provide the name of the country at the time of your prior spouse's birth, even if the name has changed.



10.9.e What is [prior spouse first name]'s country of citizenship or nationality?
What is your prior spouse's country of citizenship or nationality?

Dropdown
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.




10.9.b What was [prior spouse first name]'s immigration status when your marriage ended?
What was your prior spouse's immigration status when your marriage ended?
U.S. citizen/Lawful permanent resident/Other/I do not know Radio










(ON LAST PAGE ABOVE SUMMARY CHART OF MARITAL HISTORY) Here are your prior marriages. If anything is incorrect or missing, you can edit or delete your entries below or add a new marriage.


Your current spouse's prior marriages
Has [current spouse first name] been married previously?
Has your current spouse been married previously?
Yes/No Radio
Include annulled marriages, marriages to other people, and marriages to the same person.



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



10.8.Ac
Middle name (if applicable) Text X




10.8.Aa
Family name (last name) Text





10.8.f
10.8.g
When was [current spouse first name] married to [current spouse's prior spouse first name]?
When was your current spouse married to his or her prior spouse?
From/To Date







This is an approximate date. Checkbox





10.8.h How did this marriage end? Annulled/Divorced/Spouse deceased/Other Radio







(IF OTHER) (IF YES) Provide an explanation. Textarea





10.8.c What is [current spouse's prior spouse first name]'s date of birth?
What is your current spouse's prior spouse's date of birth?

Date







This is an approximate date. Checkbox





10.8.d What is [current spouse's prior spouse first name]'s country of birth?
What is your current spouse's prior spouse's country of birth?

Dropdown
Provide the name of the country at the time of your spouse's prior spouse's birth, even if the name has changed.



10.8.e What is [current spouse's prior spouse first name]'s country of citizenship or nationality?
What is your current spouse's prior spouse's country of citizenship or nationality?

Dropdown
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 spouse's prior spouse is stateless, enter the name of the current country where he or she was last a citizen or national.




10.8.e What is [current spouse's prior spouse first name]'s immigration status?
What is your current spouse's prior spouse's immigration status?
U.S. citizen/lawful permanent resident/Other/I do not know Radio










(ON LAST PAGE ABOVE SUMMARY CHART OF MARITAL HISTORY) Here are your current spouse's prior marriages. If anything is incorrect or missing, you can edit or delete your entries below or add a new marriage.



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

Text
Your spouse's marital history includes annulled marriages, marriages to other persons, and previous marriages to the same person. If your spouse was married to the same person more than one time, provide the requested information about each marriage separately.


Children 11.1 Do you have any children? Yes/No Radio
You must indicate all of your children, including:

• Children who are alive, missing, or deceased
• Children born in the United States or in other countries
• Children under or over 18 years of age
• Children who are currently married or unmarried
• Children living with you or elsewhere
• Current stepchildren
• Legally adopted children
• Children born when you were not married

What is your total number of children? Is original question


11.2.a What is your child's current legal name?
Text
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.



11.2.a What is [child first name]'s relationship to you?
What is your child's relationship to you?

Text
Your child's relationship to you includes biological child, stepchild, or legally adopted child.



11.2.a
My child is missing. Checkbox





11.2.a
My child is deceased. Checkbox





11.2.a What is [child first name]'s date of birth?
What is your child's date of birth?
Month/Day/Year Date







This is an approximate date. Checkbox





11.2.a What is [child first name]'s country of birth?
What is your child's country of birth?

Text
Provide the name of the country at the time of your child's birth, even if the name has changed.



11.2.a What is [child first name]'s current address?
What is your child's current address?








11.2.a
My child lives with me. Checkbox





11.2.a
Country Text





11.2.a
Address line 1 Text





11.2.a
Address line 2 Text X




11.2.a
State/Province or region (FOR FOREIGN ADDRESS) Text





11.2.a
ZIP code/Postal code (FOR FOREIGN ADDRESS) Dropdown





11.2.a
ZIP code Text





11.2.a
County Text X




11.2.a What is [child first name]'s A-Number?
What is your child's A-Number?

Text
Your child's A-Number is located on his or her Permanent Resident Card (formerly known as the Alien Registration Card or referred to as the Green Card), and consists of a 7, 8, or 9-digit number. The A-Number may be located on the front or back of the card, depending on when the card was issued.

[sample A-Number card image]



11.2.a
My child does not have an A-Number. Checkbox










(ON LAST PAGE ABOVE SUMMARY CHART OF CHILDREN) Here are your children. If anything is incorrect or missing, you can edit or delete your entries below or add a new child.


Parents 6.1 Were your parents married before your 18th birthday? Yes/No Radio
Your relationship to your mother may be biological or as a legally adoptive parent.



6.2 Is your mother a U.S. citizen? Yes/No Radio





7.2 Is your father a U.S. citizen? Yes/No Radio





6.2.Ab (IF YES) What is your mother's current legal name? Given name (first name) Text
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.



6.2.Ac
Middle name (if applicable)
X




6.2.Aa
Family name (last name)






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



6.2.c What is your mother's date of birth? Month/Day/Year Date







This is an approximate date. Checkbox





6.2.d When did your mother become a U.S. citizen? Month/Day/Year Date







My mother became a U.S. citizen at birth. Checkbox







This is an approximate date. Checkbox





6.2.e What is your mother's A-Number?

Text
Your mother's A-Number is located on his or her Permanent Resident Card (formerly known as the Alien Registration Card or referred to as the Green Card), and consists of a 7, 8, or 9-digit number. The A-Number may be located on the front or back of the card, depending on when the card was issued.

[sample A-Number card image]





My mother does not have an A-Number. Checkbox





7.2.Ab (IF YES) What is your father's current legal name? Given name (first name) Text
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.



7.2.Ac
Middle name (if applicable) Text X




7.2.Aa
Family name (last name) Text





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



7.2.c What is your father's date of birth? Month/Day/Year Date





7.2.d When did your father become a U.S. citizen? Month/Day/Year Date







My father became a U.S. citizen at birth. Checkbox







This is an approximate date. Checkbox





6.2.e What is your father's A-Number?

Text
You should provide a response. Your father's A-Number is located on his or her Permanent Resident Card (formerly known as the Alien Registration Card or referred to as the Green Card), and consists of a 7, 8, or 9-digit number. The A-Number may be located on the front or back of the card, depending on when the card was issued.

[sample A-Number card image]




My father does not have an A-Number. Checkbox




Sheet 5: Moral Character

N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Instructional text: Text that appears directly below a question and provides instructions for answering the question. (In some cases, like in the Crimes and Offenses section, instructional text may appear above a set of questions.)
Help text: Text that appears below or next to an input field, partially hidden. Users can click to expand. Provides additional contextual or clarifying information about a question.
Question grouping page breaks are indicated by a horizontal line
Conditional question logic is indicated in ( ) before question
Personalized copy is indicated in [ ]

Step Section Paper Form Question # Question Sub-Question Field Type Not Required Instructional Text Help Text Notes
Moral Character Citizenship claims and voting




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.




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






(IF YES) Provide an explanation.
Textarea





12.2 Have you EVER registered to vote in any federal, state, or local election in the United States? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.3 Have you EVER voted in any federal, state, or local election in the United States? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





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





12.4.b (IF YES) 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 Radio





12.6 Do you owe any overdue federal, state, or local taxes? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.7.a Have you EVER not filed a federal, state, or local tax return since you became a Lawful Permanent Resident? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.7.b (IF YES) Did you consider yourself to be a “non-U.S. resident”? Yes/No Radio





12.8 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 Radio






(IF YES) Provide an explanation.
Textarea




Legal competency 12.5 Have you EVER been declared legally incompetent or been confined to a mental institution? Yes/No Radio






(IF YES) Provide an explanation.
Textarea




Party or group affiliations 12.9.a 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 Radio





12.9.b (IF YES) Group name
Text
Provide information about your membership, involvement, or association with an organization, association, fund, foundation, party, club, society, or similar group in the United States or in any other location in the world.



12.9.b (IF YES) Group purpose
Text





12.9.b (IF YES) Dates were you a member From/To Date







I am currently a member. Checkbox





12.9.b
This is an approximate date. Checkbox





12.10.a Have you EVER been a member of, or in any way associated (either directly or indirectly) with the Communist Party? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.10.b Have you EVER been a member of, or in any way associated (either directly or indirectly) with any other totalitarian party? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.10.c Have you EVER been a member of, or in any way associated (either directly or indirectly) with a terrorist organization? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





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






(IF YES) Provide an explanation.
Textarea





12.12 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 Radio






(IF YES) Provide an explanation.
Textarea





12.13.a 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 Radio






(IF YES) Provide an explanation.
Textarea





12.13.b Between March 23, 1933 and May 8, 1945, did you work for or associate in any way (either directly or indirectly) with any government in any area occupied by, allied with, or established with the help of the Nazi government of Germany? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.13.c Between March 23, 1933 and May 8, 1945, did you work for or associate in any way (either directly or indirectly) with 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 Radio






(IF YES) Provide an explanation.
Textarea





12.14.a Were you EVER involved in any way with genocide? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.14.b Were you EVER involved in any way with torture? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.14.c Were you EVER involved in any way with killing, or trying to kill, someone? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.14.d Were you EVER involved in any way with badly hurting, or trying to hurt, a person on purpose? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.14.e Were you EVER involved in any way with forcing, or trying to force, someone to have any kind of sexual contact or relations? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.14.f Were you EVER involved in any way with not letting someone practice his or her religion? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.a Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a military unit? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.b Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a paramilitary unit (a group of people who act like a military group but are not part of the official military)? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.c Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a police unit? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.d Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a self-defense unit? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.e Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a vigilante unit (a group of people who act like the police but are not part of the official police)? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.f Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a rebel group? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.g Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a guerrilla group (a group of people who use weapons against or otherwise physically attack the military, police, government, or other people)? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.h Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, a militia (an army of people, not part of the official military)? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.15.i Were you EVER a member of, or did you EVER serve in, help, or otherwise participate in, an insurgent organization (a group that uses weapons and fights against a government)? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.16.a Were you EVER a worker, volunteer, or soldier, or did you otherwise EVER serve in a prison or jail? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.16.b Were you EVER a worker, volunteer, or soldier, or did you otherwise EVER serve in a prison camp? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.16.c Were you EVER a worker, volunteer, or soldier, or did you otherwise EVER serve in a detention facility (a place where people are forced to stay)? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.16.d Were you EVER a worker, volunteer, or soldier, or did you otherwise EVER serve in a labor camp (a place where people are forced to work)? Yes/No Radio






(IF YES) Provide an explanation.
Textarea






Were you EVER a worker, volunteer, or soldier, or did you otherwise EVER serve in any other place where people were forced to stay? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.17 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 Radio





12.17.a (IF YES) When you were part of this group, or when you helped this group, did you ever use a weapon against another person? Yes/No Radio






(IF YES) (IF YES) Provide an explanation.
Textarea





12.17.b (IF YES) 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 Radio






(IF YES) (IF YES) Provide an explanation.
Textarea





12.18 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 Radio





12.18.a (IF YES) Did you know that this person was going to use the weapons against another person? Yes/No Radio






(IF YES) (IF YES) Provide an explanation.
Textarea





12.18.b (IF YES) 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 Radio






(IF YES) (IF YES) Provide an explanation.
Textarea





12.19 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 Radio






(IF YES) Provide an explanation.
Textarea





12.20
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 Radio






(IF YES) Provide an explanation.
Textarea





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






(IF YES) Provide an explanation.
Textarea




Crimes and offenses




Before you start this section

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. [CHECK WITH DEV TO CHANGE STYLE]

Use yellow alert pattern for instructional text


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





12.23 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 Radio





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





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





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





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





12.27.b (IF YES) Have you completed the probation or parole? Yes/No Radio





12.28.a Have you EVER been in jail or prison? Yes/No Radio





12.28.b (IF YES) How long were you in jail or prison? Years/Months/Days Text










Because you answered yes to one or more questions, you must provide additional information on the next page.




Provide information about the circumstances in which you were [question copy user answered Yes to starting after Have you EVER been]


Provide an explanation for your crime or offense below. One explanation may be enough to explain multiple crimes and offenses. Add additional explanations as needed.



12.29 (IF YES TO ANY EXCEPT 12.22) On what date were you arrested, cited, detained, or charged? Month/Day/Year Date







This is an approximate date. Checkbox





12.29 (IF YES TO ANY EXCEPT 12.22) Where were you arrested, cited, detained, or charged? City or town, state, country Text





12.29 (IF YES TO ANY EXCEPT 12.22) Why were you arrested, cited, detained, or charged?
Textarea





12.29 (IF YES TO ANY EXCEPT 12.22) What was the outcome or disposition of the arrest, citation, detention, or charge?
Textarea
For example, no charges filed, charges dismissed, jail, probation, or another outcome.





I already provided an explanation for this crime or offense. Checkbox










(ON LAST PAGE ABOVE SUMMARY CHART OF CRIMES AND OFFENSES EXPLANATIONS) Here are your crimes and offenses explanations. If anything is incorrect or missing, you can edit or delete your entries below or add a new trip.



12.30.a Have you EVER been a habitual drunkard? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.30.b Have you EVER been a prostitute or procured anyone for prostitution? Yes/No Radio






(IF YES) Provide an explanation.
Textarea





12.30.c Have you EVER sold or smuggled controlled substances, illegal drugs, or narcotics? Yes/No Radio






(IF YES) Provide an explanation.
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12.30.d Have you EVER been married to more than one person at the same time? Yes/No Radio






(IF YES) Provide an explanation.
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12.30.e Have you EVER married someone in order to obtain an immigration benefit? Yes/No Radio






(IF YES) Provide an explanation.
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12.30.f Have you EVER helped anyone to enter, or try to enter, the United States illegally? Yes/No Radio






(IF YES) Provide an explanation.
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12.30.g Have you EVER gambled illegally or received income from illegal gambling? Yes/No Radio






(IF YES) Provide an explanation.
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12.30.h Have you EVER failed to support your dependents or to pay alimony? Yes/No Radio






(IF YES) Provide an explanation.
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12.30.i Have you EVER made any misrepresentation to obtain any public benefit in the United States? Yes/No Radio






(IF YES) Provide an explanation.
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12.31 Have you EVER given any U.S. Government officials any information or documentation that was false, fraudulent, or misleading? Yes/No Radio





12.32 (IF YES) Provide an explanation.
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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 Radio






(IF YES) Provide an explanation.
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Immigration proceedings 12.33 Have you EVER been removed, excluded, or deported from the United States? Yes/No Radio






(IF YES) Provide an explanation.
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12.34 Have you EVER been ordered removed, excluded, or deported from the United States? Yes/No Radio






(IF YES) Provide an explanation.
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12.35 Have you EVER been placed in removal, exclusion, rescission, or deportation proceedings? Yes/No Radio






(IF YES) Provide an explanation.
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12.36 Are removal, exclusion, rescission, or deportation proceedings (including administratively closed proceedings) currently pending against you? Yes/No Radio






(IF YES) Provide an explanation.
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Military 12.39 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 Radio






(IF YES) Provide an explanation.
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12.40
Have you EVER been discharged from training or service in the U.S. armed forces because you were an alien? Yes/No Radio






(IF YES) Provide an explanation.
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12.41 Have you EVER left the United States to avoid being drafted in the U.S. armed forces? Yes/No Radio






(IF YES) Provide an explanation.
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12.42 Have you EVER applied for any kind of exemption from military service in the U.S. armed forces? Yes/No Radio






(IF YES) Provide an explanation.
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12.43 Have you EVER deserted from the U.S. armed forces? Yes/No Radio






(IF YES) Provide an explanation.
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Attachment to the U.S. Constitution 12.45 Do you support the Constitution and form of Government of the United States? Yes/No Radio






(IF NO) Provide an explanation.
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12.46 Do you understand the full Oath of Allegiance to the United States? Yes/No Radio






(IF NO) Provide an explanation.
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12.47 Are you willing to take the full Oath of Allegiance to the United States? Yes/No Radio






(IF NO) Provide an explanation.
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12.48 If the law requires it, are you willing to bear arms on behalf of the United States? Yes/No Radio






(IF NO) Provide an explanation.
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12.49 If the law requires it, are you willing to perform noncombatant services in the U.S. armed forces? Yes/No Radio






(IF NO) Provide an explanation.
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12.50
If the law requires it, are you willing to perform work of national importance under civilian direction? Yes/No Radio






(IF NO) Provide an explanation.
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Sheet 6: Evidence

N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Instructional text: Text that appears directly below a question and provides instructions for answering the question. (In some cases, like in the Crimes and Offenses section, instructional text may appear above a set of questions.)
Help text: Text that appears below or next to an input field, partially hidden. Users can click to expand. Provides additional contextual or clarifying information about a question.
Question grouping page breaks are indicated by a horizontal line
Conditional question logic is indicated in ( ) before question
Personalized copy is indicated in [ ]
Step Section Evidence Title Field Type
Evidence



Required evidence to submit your application 2" x 2" photo of you Upload


Your Permanent Resident Card Upload


Your marriage certificate Upload


Request for Certification of Military or Naval Service Upload


Evidence of military service Upload


Request for Certification of Military or Naval Service Upload


Evidence of military service Upload


Additional requirements for spouses of military personnel Upload

Additional evidence to support your application



Tax documents Upload






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


Application to Preserve Residence for Naturalization Purposes Upload


Evidence of your name change Upload


Evidence of your current spouse's U.S. citizenship Upload


Evidence about your marriage Upload


Evidence about your current spouse's qualifying employment abroad Upload


Evidence of the end of your prior marriage(s) Upload


Evidence of the end of your current spouse’s prior marriage(s) Upload


Evidence about your child(ren) Upload


Evidence about child support Upload


Evidence of Selective Service registration Upload


Evidence of Selective Service status Upload


Information about your arrest(s) Upload


Information about your arrest(s) or conviction(s) Upload


Information about alternative sentencing or rehabilitative programs Upload


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


Medical Certification for Disability Exceptions Upload


Additional evidence you want to provide Upload

Sheet 7: Review & Submit

N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Instructional text: Text that appears directly below a question and provides instructions for answering the question. (In some cases, like in the Crimes and Offenses section, instructional text may appear above a set of questions.)
Help text: Text that appears below or next to an input field, partially hidden. Users can click to expand. Provides additional contextual or clarifying information about a question.
Question grouping page breaks are indicated by a horizontal line
Conditional question logic is indicated in ( ) before question
Personalized copy is indicated in [ ]

Step Section Paper Form Question # Question Sub-Question Field Type Instructional Text CTA (Call to Action/button title) Notes
Review and Submit Review your application
Check your application before you submit

We will review your application to check for accuracy and completeness before you submit it.

We encourage you to provide as many responses as you can throughout the application, to the best of your knowledge. Missing information can slow down the review process after you submit your application.

You can return to this page to review your application as many times as you want before you submit it.
Review my application























Warnings

You have one or more warnings based on incomplete or incorrect responses. You cannot submit your application until you have no warnings.




Your eligibility

You will submit your application using the following basis for eligibility.




Exemptions

You may qualify for one or more exemptions based on the information you provided in your application.




Alerts

You have one or more alerts based the information you provided in your application. An alert means you may be missing information or may need to follow-up with us about your responses. You can still submit your application, but some alerts may slow down the review process after you submit your application. Continue to view all my responses












Your application summary

Here is a summary of all the information you provided in your application.

Make sure you have provided responses for everything that applies to you before you submit your application. You can edit your responses by going to each application section using the site navigation.
Continue to sign and pay

Preparer signature 13.2 Applicant's statement regarding the preparer At my request, the preparer named in the Getting Started section of this application/[preparer first and last name] prepared this application for me based only upon information I provided or authorized. Checkbox You must read and agree to the statement below.
Sub-section only appears in navigation if users indicate they have a preparer in Getting Started section


15.7.a Preparer's statement I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's consent. Radio Your preparer must read the statements below and select the statement that applies to him or her.

If your preparer is an attorney or accredited representative whose representation extends beyond preparation of this application, he or she may be obliged to submit a completed Form G-28 Notice of Entry of Appearance as Attorney or Accredited Representative with your application.

For initial release, only these two options are presented for the applicant; after attorney G-28 logic gets added, a third attorney option will be added


15.7.b
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. Radio




15.7.c
I am an attorney or accredited representative and my representation of the applicant in this case extends beyond the preparation of this application.





15.8 Preparer's certification and signature By my signature, I certify, under penalty of perjury, that I prepared this application at the request of the applicant. The applicant then reviewed this 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.
Your preparer must read and agree to the certification below.





As the applicant's preparer, you must sign on paper and provide your signature page to the applicant. Follow these steps:

1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. Give the signed Preparer Signature page to the applicant

The applicant will need to scan and upload your completed signature page on the next screen.






15.8 Preparer's signature upload
Upload Scan and upload your preparer's completed signature page below.


Interpreter signature 13.1.b Applicant's statement regarding the interpreter The interpreter named in the Getting Started section of this application/[Interpreter first and last name] read to me every question and instruction on this application and my answer to every question in the language I specified in the Getting Started section/[language], a language in which I am fluent, and I understood everything.
Checkbox You must read and agree to the statement below.
Sub-section only appears in navigation if users indicate they have an interpreter in Getting Started section


14.6 Interpreter's certification and signature By my signature, I certify, under penalty of perjury, that I am fluent in English and [language], and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. 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.
Your interpreter must read and agree to the certification below.





As the applicant's interpreter, you must sign on paper and provide your signature page to the applicant. Follow these steps:

1. Download the Interpreter Signature page
2. Print the Interpreter Signature page
3. Read and sign the Interpreter Signature page
4. Give the signed Interpreter Signature page to the applicant

The applicant will need to scan and upload your completed signature page on the next screen.






14.6 Interpreter's signature upload
Upload Scan and upload your interpreter's completed signature page below.


Your signature 13.1.a 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. Checkbox You must read and agree to the statement below.
This question only shows if the applicant does NOT have an interpreter


13.3 Applicant's certification and signature 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.

By my signature, 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.

You must read and agree to the certification below. If you knowingly and willfully falsify or conceal a material fact or submit a false document with your application, we can deny your application and may deny any other immigration benefit. You may also face criminal prosecution and penalties provided by the law.




Your signature

You must provide your digital signature below by typing your full legal name. We may deny your application if you do not completely fill out this application or fail to submit required documents. We will record the date of your signature with your application.





[Date of signature]


We will record the date on the backend

Pay and submit



The final step to submit your Application for Naturalization is to pay the required fee.

Your application fee is: [$XXX.00]

Will personalize the fee for users based on their eligibility



Pay for and submit your application

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

Here are the steps in the payment and submission process:

1. Provide your billing information on Pay.gov
2. Provide your information for one of two billing options: credit card or U.S. bank account
3. Submit your payment

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

When you have paid your fee, your application will be submitted. Your payment and application submission may take 1 to 3 days to be fully processed. You can track the status of your application through your USCIS online account.
Pay and submit
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