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pdfNotice of Naturalization Oath Ceremony
Department of Homeland Security
U.S. Citizenship and Immigration Services
A-Number
► A-
USCIS
Form N-445
OMB No. 1615-0054
Expires 06/30/2019
Date
DRAFT
Not For
Production
06/03/2019
U.S. Citizenship and Immigration Services (USCIS) thanks you for your interest in becoming a United States citizen. You must now appear at a
Naturalization Oath Ceremony to complete the naturalization process.
You are scheduled to appear for a Naturalization Oath Ceremony on:
Please bring the following with you:
Date and Time:
• This notice with the reverse side completed. Please
refer to instructions below.
Location:
• All Permanent Resident Cards (“green card”) that you
may have, valid or expired.
• All Reentry Permits or Refugee Travel Documents that
you may have, valid or expired.
• Any other documents USCIS issued to you that you
may have, such as employment authorization cards,
valid or expired.
The naturalization ceremony is a solemn and meaningful event. USCIS asks that you dress in proper attire to respect the dignity of this event. If you
cannot come to this ceremony, return this notice immediately with a written explanation on why you cannot attend to the office with jurisdiction over
your naturalization case. To find the correct office with jurisdiction over your naturalization case, visit the following website for more information:
https://www.uscis.gov/about-us/find-uscis-office. You will then receive an appointment for a ceremony at a later date. If you are in the military,
you may contact the USCIS Military Help Line for assistance, at 877-247-4645.
To request a disability accommodation, go to www.uscis.gov/accommodations or call the USCIS Contact Center at 1-800-375-5283 (TTY:
1-800-767-1833) as soon as possible. For more information, visit www.uscis.gov/accommodationsinfo.
Instructions
You MUST bring the completed questionnaire on Page 2 with you to the Naturalization Oath Ceremony, along with the documents listed
above. You are required to give these items to an employee of USCIS at the oath ceremony.
Print clearly in black ink. Please read these instructions before answering the questions, which concern events that may have occurred since your interview.
Answer the following questions on the day of your Naturalization Oath Ceremony, before you attend the ceremony. Please note that these questions
do not refer to any events that happened before your naturalization interview. These questions refer to the time period after your interview at the
USCIS office. For example, if you were married at the time of your interview and there has been no change in your marital status since your
interview, select "NO" to Item Number 1 below. If you traveled outside the United States after your interview, select "YES" to Item Number 2
below. Additionally, if you answer "YES" to any of the questions, bring documents to support your answers. For example, if you married or
divorced after your interview, bring your marriage certificate or divorce decree. If you traveled outside of the United States, bring travel related
documents. If you were arrested after your interview, bring your arrest records and court dispositions. If you were serving in the military and have
been discharged, bring your DD214 or other discharge papers.
After you have answered each question, print the date and the location (city and state) where you completed the questionnaire. The date when you
completed the questionnaire should be the same as the date of your Naturalization Oath Ceremony. Also, sign the questionnaire and print your current
address. If you used anyone as an interpreter to read the Instructions and questions on this form to you in a language in which you are fluent, the interpreter
must fill out the section titled “Interpreter's Contact Information, Certification, and Signature,” provide his or her name, the name and address of his or
her business or organization (if any), his or her daytime telephone number, his or her mobile telephone number (if any), and his or her email address (if
any). The interpreter must sign and date the form.
Form N-445 12/15/17
Page 1 of 3
Interpreter's Contact Information, Certification, and Signature
Provide the following information concerning the interpreter.
Interpreter's Full Name
1.
Interpreter's Family Name (Last Name)
2.
Interpreter's Business or Organization Name (if any)
Interpreter's Given Name (First Name)
DRAFT
Not For
Production
06/03/2019
Interpreter's Mailing Address
3.
Street Number and Name
Apt.
City or Town
State
Province
Ste.
Flr. Number
ZIP Code
Country
Postal Code
Interpreter's Contact Information
4.
Interpreter's Daytime Telephone Number
6.
Interpreter's Email Address (if any)
5.
Interpreter's Mobile Telephone Number (if any)
Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and
, which is the same language in which the applicant is fluent,
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, and has verified the accuracy of
every answer.
Interpreter's Signature
7.
Interpreter's Signature
Form N-445 12/15/17
Date of Signature (mm/dd/yyyy)
Page 2 of 3
For
USCIS
Use
Only
PRC Not Collected. Provide reason:
Card was lost/stolen, destroyed or mutilated.
Never received card.
Never issued a card (such as certain members
of the U.S. Armed Forces and U.S. nationals).
Other:
Name of Applicant
A-Number
► A-
FCO:
Answer the following questions on the day of your Naturalization Oath Ceremony. For more information, refer to Page 1 of this notice for detailed instructions.
1.
2.
3.
4.
5.
6.
7.
8.
Since your interview, have you married, or been widowed, separated or divorced?
Since your interview, have you traveled outside the United States?
Since your interview, have you committed any crime or offense, for which you have not been arrested?
Since your interview, have you been arrested, cited, charged, indicted, convicted, fined, or imprisoned for
breaking or violating any law or ordinance, including traffic violations?
Since your interview, have you joined, become associated, or connected with any organization in any way,
including the Communist Party, a totalitarian organization, or terrorist group?
Since your interview, have you deserted from, claimed exemption from, or been separated or discharged from
military service?
Since your interview, has there been any change in your willingness to bear arms on behalf of the United States;
to perform non-combatant service in the armed forces of the United States; or to perform work of national
importance under civilian direction if the law requires it?
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
Yes
No
Yes
No
Since your interview, have you practiced polygamy, received income from illegal gambling, been involved in
prostitution, helped anyone enter the United States illegally, trafficked controlled substances, given false
testimony to obtain immigration benefits, or been a habitual drunkard?
Yes
No
DRAFT
Not For
Production
06/03/2019
I certify under penalty of perjury that each answer provided above was made by me or at my direction, that I reviewed and understand all of the
questions and answers provided, and that each answer is true and correct as of the date of my Naturalization Oath Ceremony.
Signed at City and State
Signature
on (Date)
Mailing Address: Street Number and Name
Apt.
City or Town
State
DHS Privacy Notice
Ste.
Flr. Number
ZIP Code
AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Immigration and Nationality Act (INA) sections 101(f),
313, 316, 332, 334, 335 and 336.
PURPOSE: The primary purpose for providing the requested information on this form is to determine if you have maintained good moral character and continued
eligibility for naturalization from the date of your last interview until the naturalization ceremony. DHS uses the information you provide to assess your continuing
eligibility for the immigration benefit you are seeking.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number (if
applicable), and any requested evidence, may delay a final decision or result in denial of your application for an immigration benefit.
ROUTINE USES: DHS may share the information you provide on this form and any additional requested evidence 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 [DHSUSCIS-001 - Alien File, Index, and National File Tracking System and DHS-USCIS-007 - Benefits Information System] and the published privacy impact assessments
[DHS/USCIS/PIA-015 Computer Linked Application Information Management System 4 and DHS/USCIS/PIA-056 USCIS Electronic Immigration System] which you
can find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.
Paperwork Reduction Act
An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently
valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 10 minutes per response,
including the time for reviewing instructions, gathering the required documentation and information, completing the notice, preparing statements, attaching necessary
documentation, and submitting the notice. 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 1615-0054. Do not mail your completed Form N-445 to this address.
Form N-445 12/15/17
Page 3 of 3
File Type | application/pdf |
Author | USCIS |
File Modified | 2019-06-03 |
File Created | 2019-06-03 |