N-400 Interactive Form Copy Deck

N400 interactive form copy_OMB_2016-06-08_DS clean.pdf

Application for Naturalization

N-400 Interactive Form Copy Deck

OMB: 1615-0052

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N400 INTERACTIVE FORM COPY: QUESTIONS, INSTRUCTIONAL AND HELP TEXT, AND OTHER COPY
Conditional logic is indicated in ( )
Personalized copy is indicated in [ ]

Step

Section

Becoming a citizen
Eligibility
through naturalization:
The application process

Instructional Text

Notes

(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].

See the eligibility tool Excel doc for Basis of
Eligibility copy

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.
Cost

Filing online

What happens after I
apply?

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.
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.

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.
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.
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.

Request for evidence

Interview

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.

Military eligibility paths are not in the initial
release for e-filing

Start your application

Before the start of the Application for Naturalization (N400), 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.

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

Getting Started

Basis for eligibility

Paper Form
Question #

Question

Sub-Question

Field Type

Not
Instructional Text
Required

Help Text

Notes

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

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

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.
What is your basis for eligibility?

Preparer and interpreter information

Is someone assisting you with completing this
application?
(IF YES) Is a preparer assisting you with completing this
application?

15.1a
15.1b
15.2
15.3

15.4
15.5

(IF YES) Is an interpreter assisting you with completing
this application?
What is your preparer's full name?
What is your preparer's business or organization name?
What is your preparer's mailing address?

Radio

Given name (first name)
Family name (last name)

Text
Text
Text
Checkbox

My preparer is not part of a business or organization.

Radio
Radio
Text
Radio

Checkbox

What is your current legal name?

Given name (first name)

Text

Have you used any other names since birth?

Middle name (if applicable)
Family name (last name)
Yes/No

Text
Text
Radio

Given name (first name)
Middle name (if applicable)
Family name (last name)
Yes/No

Text
Text
Text
Radio

14.3

What is your interpreter's mailing address?

What is your interpreter's business or organization name?

What is your interpreter's contact information?

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

2.3.b
2.3.c
2.3.a
2.4

Radio

Yes/No

Radio

My interpreter is not part of a business or
organization.
Country
Address line 1
Address line 2
City or town
State
ZIP code
Daytime phone number
Mobile phone number
My interpreter does not have a mobile number.
Email address
My interpreter does not have an email address.

What is your preparer's contact information?

What is your interpreter's full name?

2.1.c
2.1.a

Yes/No

Radio

Text
Text
Text
Text
Dropdown
Text
Text
Text
Checkbox
Text
Checkbox
Text
Text
Text

14.1a
14.1b
14.2

2.1.b

Radio

Country
Address line 1
Address line 2
City or town
State
ZIP code
Daytime phone number
Mobile phone number
My preparer does not have a mobile phone number.
Email address
My preparer does not have an email address.
Given name (first name)
Family name (last name)

15.6

Your name

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
(IF OTHER) Provide an explanation.
Yes/No

(IF YES)

Would you like to legally change your name?

Text
Text
Text
Text
Dropdown
Text
Text
Text
Checkbox
Text
Checkbox
Text

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

X

X

X

X

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

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.

Other names used may include nicknames, aliases, and
maiden names.
Provide the other names you have used.

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.

Your contact information

2.4.b

(IF YES) What new name would you like to use?

2.4.c
2.4.a
4.4

How can we contact you?

4.1
4.3
4.2
4.5
5.1.b

What is your current mailing address?

Given name (first name)

Text

Middle name (if applicable)
Family name (last name)
Mobile phone number
I am deaf or hard of hearing and need TTY assistance.
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
This is the same as my mobile phone number.
Email address
In care of name (if any)

Text
Text
Text
Checkbox
Text
Checkbox
Text
Checkbox
Text
Checkbox
Text
Text

Country

Dropdown

X

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

X
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.

Provide a name if someone else is receiving your mail Use "I" help text style
for you at your current mailing 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

5.1.b
5.1.b
5.1.b
5.1.b
5.1.b
5.1.b

Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)
County

Text
Text
Text
Text
Text
Dropdown

X

X

When and where you were born

2.8

What is your date of birth?

Your immigration information

2.1
2.11

What is your country of birth?
What is your country of citizenship or nationality?

Month/Day/Year
This is an approximate date.
Country

Date
Checkbox
Text
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.

2.9

On what date did you become a lawful permanent
resident?

Month/Day/Year

If you are stateless, enter the name of the current
country where you were last a citizen or national.
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).

Date

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
2.2.c
2.2.a

Part 1

What is your name exactly as it appears on your
permanent residence card?

What is your A-Number?

Given name (first name)

Text

Middle name (if applicable)
Text
Family name (last name)
Text
The name on my permanent resident card matches my Checkbox
current legal name.
Text

X

Provide your name exactly as it appears on your
Permanent Resident Card, even if it is misspelled.

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.

2.5

What is your U.S. Social Security number?

2.6

What is your USCIS Online Account Number?

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

Text
Checkbox
Text

[sample A-Number card image]

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.

1.c

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

I do not have a USCIS Online Account Number.

Checkbox
Dropdown

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

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

About You

Describe yourself

Where you have lived

Paper Form Question
Question #

Sub-Question

Field Type

Not
Required

Instructional Text

Help Text

Notes

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
7.1

What is your gender?
What is your ethnicity?

Male/Female
Hispanic or Latino
Not Hispanic or Latino

Radio
Radio

7.2

What is your race?

White 

Checkbox

Asian 

Checkbox

Asian

Black or African American 

Checkbox

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

American Indian or Alaska Native 

Checkbox

A person having origins in any of the black racial groups
of Africa.
American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander 

Checkbox

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

Feet/Inches
Pounds
Black/Blue/Brown/Gray/Green/Hazel/Maroon/Pink/
Unknown/other
Bald (no
hair)/Black/Blonde/Brown/Gray/Red/Sandy/White/
Unknown/other
I live at my current mailing address.
Country
Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)
County
From
This is an approximate date.
Country
Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)
County
From/To
This is an approximate date.

Text
Text
Dropdown

7.3
7.4
7.5

What is your height?
What is your weight?
What is the color of your eyes?

7.6

What is the color of your hair?

5.1.a
5.1.a
5.1.a
5.1.a
5.1.a
5.1.a
5.1.a
5.1.a

Where do you live now?

5.1.c
5.1.c
5.1.c
5.1.c
5.1.c
5.1.c
5.1.c
5.1.c

Where else have you lived during the last 5 years?

School and employment

When did you move here?

When did you live here?

Where have you worked and/or attended school (full-time Add a school
or part-time) during the last 5 years?
Add an employer
Add a period of unemployment
Add a period of self-employment
8.1
8.1
8.1
8.1

Add school
What is the name of the school?
What was your occupation?
On what dates did you attend this school?

8.1
8.1

What is the school's address?

From/To
This is an approximate date.
I currently attend this school.
Country

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.
Select all that apply. Your race is different from your
White
ethnicity and should reflect your geographical origins.
A person having origins in any of the original peoples of
Europe, the Middle East, or North Africa.

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

Dropdown

Checkbox
Dropdown
Text
Text
Text
Text
Text
Text
Date
Checkbox
Dropdown
Text
Text
Text
Text
Text
Text
Date
Checkbox

Dropdown

Text
Text
Date
Checkbox
Checkbox
Text

X

X

X

X
(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.
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.

Prepopulates as Student

8.1
8.1
8.1
8.1
8.1
8.2
8.2
8.2
8.2
8.2
8.2
8.2
8.2
8.2
8.2
8.2
8.3
8.3
8.3
8.4
8.4
8.4
8.4
8.4
8.4
8.4
8.4
8.4
8.4
8.4
8.4

Military service

Selective service

12.37
12.38.a
12.38.b
12.38.c
12.44.a

12.44.b

What is the employer's address?

Add unemployment
On what dates were you unemployed?

Add self-employment
What is the name of the employer?
What was your occupation?
On what dates were you self-employed here?

What is the business address?

Have you EVER served in the U.S. armed forces?
Are you currently a member of the U.S. armed forces?
(IF YES) Are you scheduled to deploy overseas, including
to a vessel, within the next three months?
(IF YES) Are you currently stationed overseas?
Are you a male who lived in the United States at any time
between your 18th and 26th birthdays?
(IF YES TO 12.44.a) Did you register for the Selective
Service?
(IF YES TO BOTH) On what date did you register for the
Selective Service?

12.44.b

(IF YES TO BOTH) What is your Selective Service Number?

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?
(IF YES TO 12.44.a & NO TO DID YOU REGISTER & ≥ 18 <
26) What is your Selective Service Number?
(IF YES TO 12.44.a & NO TO DID YOU REGISTER & ≥ 26)
Why did you not register with the Selective Service?
Have you taken a trip outside of the United States in the
last 5 years?

12.44.b

Travel outside the U.S.

Add employer
What is the name of the employer?
What was your occupation?
On what dates were you employed here?

9.2

9.3

9.3
9.3

List all trips of 24 hours or longer that you have taken
outside the United States during the last 5 years.

I am currently traveling here.

Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)

From/To
This is an approximate date.
I am currently unemployed.

Text
Text
Date
Checkbox
Checkbox
Text
Text
Text
Text
Dropdown
Text
Text
Date
Checkbox
Checkbox

From/To
This is an approximate date.
I am currently self-employed.
Country
Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)

Text
Text
Date
Checkbox
Checkbox
Text
Text
Text
Text
Dropdown
Text

Yes/No
Yes/No
Yes/No

Radio
Radio
Radio

Yes/No
Yes/No

Radio
Radio

Yes/No

Radio

From/To
This is an approximate date.
I currently work here.
Country
Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)

X

X

Prepopulates as Self-employed

X

(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.

This does not include living in the United States as a
lawful nonimmigrant.

Text
This is an approximate date.

Checkbox
Text
Text

Text
Text

Wendy G (OPS RND)

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.

Date you left the U.S.

Date

Date you returned to the U.S.

Date
Checkbox
Textarea

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.

Countries you traveled to

9.3

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

9.3

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

9.1

Text
Text
Text
Dropdown
Text

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

Requests for accommodations

2.12

Do you have a physical or developmental disability or
Yes/No
mental impairment that prevents you from demonstrating
your knowledge and understanding of the English
language and/or civics requirements for naturalization?

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

3.1.a
3.1.a

(IF YES) Select all that apply.

3.1.b
3.1.b
3.1.c
3.1.c

2.13.a

You may be eligible for an exemption from the English
language test

I am deaf or hard of hearing.
Provide an explanation for the accommodation that
you are requesting. If you are requesting a signlanguage interpreter, indicate for which language (for
example, American Sign Language).
I am blind or have low vision.
Provide an explanation for the accommodation that
you are requesting.
I have another type of disability and/or impairment (for
example, wheelchair).
Provide an explanation for the accommodation that
you are requesting. Describe the nature of your
disability and/or impairment.
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.

Checkbox
Textarea

Checkbox
Textarea
Checkbox
Textarea

Notice

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.
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
Notice
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.

2.13.c

You may be eligible for an exemption from the English
You may not have to take the English language test
Notice
language test and a simplified version of the U.S. civics 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.

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

Your Family

Marital status

10.1

What is your current marital status?

Single, never
Radio
married/Married/Divorced/Widowed/Separated/Marri
age annulled

Current spouse

10.4.Ab

(IF YES TO MARRIED OR SEPARATED) What is your current Given name (first name)
spouse's legal name?

10.4.Ac
10.4.Ac
10.4.e

10.4.d

10.4.B
10.4.Bb
10.4.Bc
10.4.Ba

10.4.C
10.4.Cb
10.4.Cc
10.4.Ca
10.4.f
10.4.f
10.4.f
10.4.f
10.4.f
10.4.f
10.4.f
10.4.f
10.4.f
10.5
10.6.a

10.6.b
10.7.a

Field Type

Text

Middle name (if applicable)
Family name (last name)
Month/Day/Year

Text
Text
Date

This is an approximate date.
Month/Day/Year

Checkbox
Date

This is an approximate date.
Has [current spouse first name] ever used a previous legal Yes/No
name?
Has your current spouse ever used a previous legal name?

Checkbox
Radio

(IF YES)

Given name (first name)

Text

Middle name (if applicable)
Family name (last name)
Yes/No

Text
Text
Radio

Given name (first name)

Text

Middle name (if applicable)
Family name (last name)

Text
Text

My spouse's current address is the same as my current
address.
Country
Address line 1
Address line 2
City or town
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)
County
Yes/No

Checkbox

At birth/Other

Dropdown

Date your current spouse became a U.S. citizen
This is an approximate date.

Date
Checkbox
Text

On what date did you marry [spouse name]?
On what date did you marry your current spouse?
What is [current spouse first name]'s date of birth?
What is your current spouse's date of birth?

Has [current spouse first name] used any other names
since birth?
Has your current spouse used any other names since
birth?
(IF YES)

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

Is [current spouse first name] a U.S. citizen?
Is your current spouse a U.S. citizen?
(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?

(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?

Not
Instructional Text
Required

Text
Text
Text
Text
Dropdown
Text
Text
Radio

Help 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.
X

X

Provide the previous legal name your current spouse
has used.

Other names used may include nicknames, aliases, and
maiden names.

Provide the other names your current spouse has used.
X

X

X

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.

10.7.c

10.7.c
10.7.b

(IF NO) What is [current spouse first name]'s current
Lawful permanent resident/Other
immigration status?
(IF NO) What is your current spouse's current immigration
status?
(IF OTHER) (IF YES) Provide an explanation.
(IF NO) What is [current spouse first name]'s A-Number?
(IF NO) What is your current spouse's A-Number?

My spouse does not have an A-Number.

Radio

Textarea
Text

Checkbox

If your spouse is stateless, enter the name of the
current country where he or she was last a citizen or
national.

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

Notes
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
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

10.2

10.4.g

Your prior marriages

10.3

Is [current spouse first name] a current member of the
Yes/No
U.S. armed forces?
Is your current spouse a current member of the U.S.
armed forces?
Where is [current spouse first name] currently employed?
Where is your current spouse currently employed?

Radio

My spouse is currently unemployed.
[How many times have you been married?] Have you been Yes/No
married previously?

Checkbox
Radio

Text

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

10.9.Aa
10.9.Ac
10.9.f

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

When were you married to [prior spouse first name]?
When were you married to your prior spouse?

10.9.g

How did this marriage end?

10.9.c

What is [prior spouse first name]'s date of birth?
What is your prior spouse's date of birth?

10.9.d

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

10.9.e

Given name (first name)

Text

Middle name (if applicable)
Family name (last name)
From/To

Text
Text
Date

This is an approximate date.
Annulled/Divorced/Spouse deceased/Other
(IF OTHER) Provide an explanation.
Month/Day/Year

Checkbox
Radio
Textarea
Date

This is an approximate date.

Checkbox
Text

X

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.

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

Dropdown

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.

10.9.b

Your current spouse's prior marriages

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 Radio
know

Has [current spouse first name] been married previously? Yes/No
Has your current spouse been married previously?

Radio

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?

Text

10.8.Ac
10.8.Aa
10.8.f
10.8.g

Middle name (if applicable)
Family name (last name)
When was [current spouse first name] married to [current From/To
spouse's prior spouse first name]?
When was your current spouse married to his or her prior
spouse?
This is an approximate date.
How did this marriage end?
Annulled/Divorced/Spouse deceased/Other
(IF OTHER) (IF YES) Provide an explanation.
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?

10.8.h
10.8.c

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?

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

Given name (first name)

This is an approximate date.

Text
Text
Date

(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.
Include annulled marriages, marriages to other people,
and marriages to the same person.

X

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.

Checkbox
Radio
Textarea
Date

Checkbox
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.

10.8.e

Children

What is [current spouse's prior spouse first name]'s
immigration status?
What is your current spouse's prior spouse's immigration
status?

10.8

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

11.1

Do you have any children?

U.S. citizen/lawful permanent resident/Other/I do not
know

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.

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.
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.
You must indicate all of your children, including:

Text

Yes/No

Radio

• 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
11.2.a

What is your child's current legal name?

11.2.a

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

11.2.a
11.2.a
11.2.a

11.2.a
11.2.a
11.2.a
11.2.a
11.2.a
11.2.a
11.2.a
11.2.a
11.2.a
11.2.a
11.2.a

What is [child first name]'s date of birth?
What is your child's date of birth?
What is [child first name]'s country of birth?
What is your child's country of birth?
What is [child first name]'s current address?
What is your child's current address?

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

11.2.a

Parents

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

Text
My child is missing.
My child is deceased.
Month/Day/Year

Checkbox
Checkbox
Date

This is an approximate date.

Checkbox
Text

My child lives with me.
Country
Address line 1
Address line 2
State/Province or region (FOR FOREIGN ADDRESS)
ZIP code/Postal code (FOR FOREIGN ADDRESS)
ZIP code
County

Checkbox
Text
Text
Text
Text
Dropdown
Text
Text
Text

My child does not have an A-Number.

Checkbox

6.1

Were your parents married before your 18th birthday?

Yes/No

Radio

6.2
7.2
6.2.Ab

Is your mother a U.S. citizen?
Is your father a U.S. citizen?
(IF YES) What is your mother's current legal name?

Yes/No
Yes/No
Given name (first name)

Radio
Radio
Text

6.2.Ac
6.2.Aa
6.2.b

What is your mother's country of birth?

6.2.c

What is your mother's date of birth?

6.2.d

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

Middle name (if applicable)
Family name (last name)

Month/Day/Year
This is an approximate date.
Month/Day/Year
My mother became a U.S. citizen at birth.
This is an approximate date.

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

X

X

(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.
Your relationship to your mother may be biological or
as a legally adoptive parent.

X
Text
Date
Checkbox
Date
Checkbox
Checkbox

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

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.

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

What is your total number of children? Is
original question

6.2.e

What is your mother's A-Number?

7.2.Ab

(IF YES) What is your father's current legal name?

7.2.Ac
7.2.Aa
7.2.b

What is your father's country of birth?

7.2.c
7.2.d

What is your father's date of birth?
When did your father become a U.S. citizen?

6.2.e

What is your father's A-Number?

Text

My mother does not have an A-Number.
Given name (first name)

Checkbox
Text

Middle name (if applicable)
Family name (last name)

Text
Text
Date

Month/Day/Year
Month/Day/Year
My father became a U.S. citizen at birth.
This is an approximate date.

Date
Date
Checkbox
Checkbox
Text

My father does not have an A-Number.

Checkbox

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

X

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.

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

You should provide a response.

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

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

Moral Character

Citizenship claims and voting

Paper Form Question
Question #

Sub-Question

Field Type

Not
Instructional Text
Required
If any part of a question applies to you or has ever
applied to you, you must answer yes.

12.1

12.2

12.3

12.4.a
12.4.b

12.6
12.7.a

12.7.b
12.8

Legal competency

12.5

Party or group affiliations

12.9.a

Have you EVER claimed to be a U.S. citizen (in writing or
any other way)?
(IF YES) Provide an explanation.
Have you EVER registered to vote in any federal, state, or
local election in the United States?
(IF YES) Provide an explanation.
Have you EVER voted in any federal, state, or local election
in the United States?
(IF YES) Provide an explanation.
Do you now have, or did you EVER have, a hereditary title
or an order of nobility in any foreign country?
(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?
Do you owe any overdue federal, state, or local taxes?
(IF YES) Provide an explanation.
Have you EVER not filed a federal, state, or local tax return
since you became a Lawful Permanent Resident?
(IF YES) Provide an explanation.
(IF YES) Did you consider yourself to be a “non-U.S.
resident”?
Have you called yourself a "non-U.S. resident" on a
federal, state, or local tax return since you became a
lawful permanent resident?
(IF YES) Provide an explanation.
Have you EVER been declared legally incompetent or been
confined to a mental institution?
(IF YES) Provide an explanation.
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?

12.9.b

(IF YES) Group name

12.9.b
12.9.b

(IF YES) Group purpose
(IF YES) Dates were you a member

12.9.b
12.10.a

12.10.b

12.10.c

12.11

12.12

12.13.a

12.13.b

Have you EVER been a member of, or in any way
associated (either directly or indirectly) with the
Communist Party?
(IF YES) Provide an explanation.
Have you EVER been a member of, or in any way
associated (either directly or indirectly) with any other
totalitarian party?
(IF YES) Provide an explanation.
Have you EVER been a member of, or in any way
associated (either directly or indirectly) with a terrorist
organization?
(IF YES) Provide an explanation.
Have you EVER advocated (either directly or indirectly) the
overthrow of any government by force or violence?
(IF YES) Provide an explanation.
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?
(IF YES) Provide an explanation.
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?
(IF YES) Provide an explanation.
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?
(IF YES) Provide an explanation.

Yes/No

Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Radio

Yes/No
Yes/No

Radio
Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Text

From/To
I am currently a member.
This is an approximate date.
Yes/No

Text
Date
Checkbox
Checkbox
Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Yes/No

Textarea
Radio

Textarea

Your answers, whether yes or no, will not automatically
cause your application to be denied.

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.

Help Text

Notes

12.13.c

12.14.a
12.14.b
12.14.c

12.14.d

12.14.e

12.14.f

12.15.a

12.15.b

12.15.c

12.15.d

12.15.e

12.15.f

12.15.g

12.15.h

12.15.i

12.16.a

12.16.b

12.16.c

12.16.d

12.17

12.17.a

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?
(IF YES) Provide an explanation.
Were you EVER involved in any way with genocide?
(IF YES) Provide an explanation.
Were you EVER involved in any way with torture?
(IF YES) Provide an explanation.
Were you EVER involved in any way with killing, or trying
to kill, someone?
(IF YES) Provide an explanation.
Were you EVER involved in any way with badly hurting, or
trying to hurt, a person on purpose?
(IF YES) Provide an explanation.
Were you EVER involved in any way with forcing, or trying
to force, someone to have any kind of sexual contact or
relations?
(IF YES) Provide an explanation.
Were you EVER involved in any way with not letting
someone practice his or her religion?
(IF YES) Provide an explanation.
Were you EVER a member of, or did you EVER serve in,
help, or otherwise participate in, a military unit?
(IF YES) Provide an explanation.
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)?
(IF YES) Provide an explanation.
Were you EVER a member of, or did you EVER serve in,
help, or otherwise participate in, a police unit?
(IF YES) Provide an explanation.
Were you EVER a member of, or did you EVER serve in,
help, or otherwise participate in, a self-defense unit?
(IF YES) Provide an explanation.
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)?
(IF YES) Provide an explanation.
Were you EVER a member of, or did you EVER serve in,
help, or otherwise participate in, a rebel group?
(IF YES) Provide an explanation.
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)?
(IF YES) Provide an explanation.
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)?
(IF YES) Provide an explanation.
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)?
(IF YES) Provide an explanation.
Were you EVER a worker, volunteer, or soldier, or did you
otherwise EVER serve in a prison or jail?
(IF YES) Provide an explanation.
Were you EVER a worker, volunteer, or soldier, or did you
otherwise EVER serve in a prison camp?
(IF YES) Provide an explanation.
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)?
(IF YES) Provide an explanation.
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)?
(IF YES) Provide an explanation.
Were you EVER a worker, volunteer, or soldier, or did you
otherwise EVER serve in any other place where people
were forced to stay?
(IF YES) Provide an explanation.
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?
(IF YES) When you were part of this group, or when you
helped this group, did you ever use a weapon against
another person?
(IF YES) (IF YES) Provide an explanation.

Yes/No

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12.17.b

12.18

12.18.a

12.18.b

12.19

12.20

12.21

(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?
(IF YES) (IF YES) Provide an explanation.
Did you EVER sell, give, or provide weapons to any person,
or help another person sell, give, or provide weapons to
any person?
(IF YES) Did you know that this person was going to use
the weapons against another person?
(IF YES) (IF YES) Provide an explanation.
(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?
(IF YES) (IF YES) Provide an explanation.
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?
(IF YES) Provide an explanation.
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?
(IF YES) Provide an explanation.
Did you EVER use any person under 15 years of age to do
anything that helped or supported people in combat?

Yes/No

Radio

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(IF YES) Provide an explanation.

Crimes and offenses

12.22

12.23

12.24
12.25

12.26
12.27.a
12.27.b
12.28.a
12.28.b

Textarea

Have you EVER committed, assisted in committing, or
Yes/No
attempted to commit, a crime or offense for which you
were NOT arrested?
Have you EVER been arrested, cited, or detained by any
Yes/No
law enforcement officer (including any immigration official
or any official of the U.S. armed forces) for any reason?

Radio

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

Radio

Have you EVER been convicted of a crime or offense?
Have you EVER been placed in an alternative sentencing or
a rehabilitative program (for example, diversion, deferred
prosecution, withheld adjudication, deferred
adjudication)?
Have you EVER received a suspended sentence, been
placed on probation, or been paroled?
(IF YES) Have you completed the probation or parole?
Have you EVER been in jail or prison?
(IF YES) How long were you in jail or prison?

Yes/No
Yes/No

Radio
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Yes/No

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Yes/No
Yes/No
Years/Months/Days

Radio
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Text

Month/Day/Year

Date

12.29
12.29
12.29

12.30.a
12.30.b

12.30.c

12.30.d

(IF YES TO ANY EXCEPT 12.22) On what date were you
arrested, cited, detained, or charged?

This is an approximate date.
(IF YES TO ANY EXCEPT 12.22) Where were you arrested, City or town, state, country
cited, detained, or charged?
(IF YES TO ANY EXCEPT 12.22) Why were you arrested,
cited, detained, or charged?
(IF YES TO ANY EXCEPT 12.22) What was the outcome or
disposition of the arrest, citation, detention, or charge?
I already provided an explanation for this crime or
offense.

Checkbox
Text

Have you EVER been a habitual drunkard?
(IF YES) Provide an explanation.
Have you EVER been a prostitute or procured anyone for
prostitution?
(IF YES) Provide an explanation.
Have you EVER sold or smuggled controlled substances,
illegal drugs, or narcotics?
(IF YES) Provide an explanation.
Have you EVER been married to more than one person at
the same time?

Yes/No

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Yes/No

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Yes/No

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Yes/No

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]

Radio

Provide information about the circumstances in which you
were [question copy user answered Yes to starting after
Have you EVER been]
12.29

Before you start this section

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

Textarea
Textarea
Checkbox

For example, no charges filed, charges dismissed, jail,
probation, or another outcome.

(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.

Use yellow alert pattern for instructional text

12.30.e

12.30.f

12.30.g

12.30.h

12.30.i

12.31

12.32

Immigration proceedings

12.33

12.34

12.35

12.36

Military

12.39

12.40

12.41

12.42

12.43
Attachment to the U.S. Constitution

12.45

12.46

12.47

12.48

12.49

12.50

(IF YES) Provide an explanation.
Have you EVER married someone in order to obtain an
immigration benefit?
(IF YES) Provide an explanation.
Have you EVER helped anyone to enter, or try to enter,
the United States illegally?
(IF YES) Provide an explanation.
Have you EVER gambled illegally or received income from
illegal gambling?
(IF YES) Provide an explanation.
Have you EVER failed to support your dependents or to
pay alimony?
(IF YES) Provide an explanation.
Have you EVER made any misrepresentation to obtain any
public benefit in the United States?
(IF YES) Provide an explanation.
Have you EVER given any U.S. Government officials any
information or documentation that was false, fraudulent,
or misleading?
(IF YES) Provide an explanation.
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?
(IF YES) Provide an explanation.
Have you EVER been removed, excluded, or deported
from the United States?
(IF YES) Provide an explanation.
Have you EVER been ordered removed, excluded, or
deported from the United States?
(IF YES) Provide an explanation.
Have you EVER been placed in removal, exclusion,
rescission, or deportation proceedings?
(IF YES) Provide an explanation.
Are removal, exclusion, rescission, or deportation
proceedings (including administratively closed
proceedings) currently pending against you?
(IF YES) Provide an explanation.
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?
(IF YES) Provide an explanation.
Have you EVER been discharged from training or service in
the U.S. armed forces because you were an alien?
(IF YES) Provide an explanation.
Have you EVER left the United States to avoid being
drafted in the U.S. armed forces?
(IF YES) Provide an explanation.
Have you EVER applied for any kind of exemption from
military service in the U.S. armed forces?
(IF YES) Provide an explanation.
Have you EVER deserted from the U.S. armed forces?
(IF YES) Provide an explanation.
Do you support the Constitution and form of Government
of the United States?
(IF NO) Provide an explanation.
Do you understand the full Oath of Allegiance to the
United States?
(IF NO) Provide an explanation.
Are you willing to take the full Oath of Allegiance to the
United States?
(IF NO) Provide an explanation.
If the law requires it, are you willing to bear arms on
behalf of the United States?
(IF NO) Provide an explanation.
If the law requires it, are you willing to perform
noncombatant services in the U.S. armed forces?
(IF NO) Provide an explanation.
If the law requires it, are you willing to perform work of
national importance under civilian direction?
(IF NO) Provide an explanation.

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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

Step
Evidence

Section

Evidence Title

Field Type

Required evidence to submit your
application

2" x 2" photo of you

Upload

Your Permanent Resident Card
Your marriage certificate
Request for Certification of Military or Naval Service
Evidence of military service
Request for Certification of Military or Naval Service
Evidence of military service
Additional requirements for spouses of military personnel

Upload
Upload
Upload
Upload
Upload
Upload
Upload

Additional evidence to support your
application

Tax documents

Upload

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

Application to Preserve Residence for Naturalization
Purposes

Upload

Evidence of your name change
Evidence of your current spouse's U.S. citizenship
Evidence about your marriage

Upload
Upload
Upload

Evidence about your current spouse's qualifying
employment abroad

Upload

Evidence of the end of your prior marriage(s)
Evidence of the end of your current spouse’s prior
marriage(s)
Evidence about your child(ren)
Evidence about child support
Evidence of Selective Service registration
Evidence of Selective Service status
Information about your arrest(s)
Information about your arrest(s) or conviction(s)
Information about alternative sentencing or rehabilitative
programs

Upload
Upload
Upload
Upload
Upload
Upload
Upload
Upload
Upload

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

Medical Certification for Disability Exceptions
Additional evidence you want to provide

Upload
Upload

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

Review and Submit

Review your application

Paper Form Question
Question #

Sub-Question

Field Type Instructional Text

Check your application before you submit

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

CTA (Call to Action/button title)

Notes

Review my application

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.

Warnings

You have one or more warnings based on incomplete or
incorrect responses. You cannot submit your
application until you have no warnings.
You will submit your application using the following
basis for eligibility.
You may qualify for one or more exemptions based on
the information you provided in your application.
You have one or more alerts based the information you Continue to view all my responses
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.

Your eligibility
Exemptions
Alerts

Your application summary

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

Continue to sign and pay

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.
Preparer signature

13.2

Applicant's statement regarding the preparer

15.7.a

Preparer's statement

15.7.b

15.7.c

15.8

Preparer's certification and signature

At my request, the preparer named in the Getting
Checkbox
Started section of this application/[preparer first and
last name] prepared this application for me based only
upon information I provided or authorized.
I am not an attorney or accredited representative but Radio
have prepared this application on behalf of the
applicant and with the applicant's consent.

I am an attorney or accredited representative and my Radio
representation of the applicant in this case does not
extend beyond the preparation of this application.
I am an attorney or accredited representative and my
representation of the applicant in this case extends
beyond the preparation of this application.
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.

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

Your preparer must read the statements below and
select the statement that applies to him or her.

For initial release, only these two options are
presented for the applicant; after attorney G28 logic gets added, a third attorney option
will be added

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.

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

Interpreter signature

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

15.8

Preparer's signature upload

13.1.b

Applicant's statement regarding the interpreter

The interpreter named in the Getting Started section of Checkbox
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.

Upload

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

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

Your interpreter must read and agree to the certification below.

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

Your signature

14.6

Interpreter's signature upload

13.1.a

Applicant's statement

13.3

Applicant's certification and signature

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

Upload

I can read and understand English, and I have read and Checkbox
understand every question and instruction on this
application and my answer to every question.
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.

Scan and upload your interpreter's completed signature
page below.
You must read and agree to the statement below.

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.

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
Your signature

3 All f thi i f

ti

l t t

d

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.

This question only shows if the applicant
does NOT have an interpreter

[Date of signature]

Pay and submit

Pay for and submit your application

The final step to submit your Application for
Naturalization is to pay the required fee.
Your application fee is: [$XXX.00]
We will send you to Pay.gov — our safe, secure
Pay and submit
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.

We will record the date on the backend
Will personalize the fee for users based on
their eligibility


File Typeapplication/pdf
AuthorMicrosoft Office User
File Modified2022-08-04
File Created2022-08-04

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