Form Table of Changes

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TABLE OF CHANGES – FORM
Form N-400, Application for Naturalization
OMB Number: 1615-0052
01/30/2026
Reason for Revision: High Value, Social Media, and FDNS combo
Project Phase: OMB Review
Legend for Proposed Text:
• Black font = Current text
• Red font = Changes
Expires 03/31/2027
Edition Date 01/20/2025
New Edition Date 01/30/2026
Current Page Number
and Section
Pages 1-2,
Part 2. Information
About You (Person
applying for
naturalization)

Current Text

Proposed Text

[Page 1]

[Page 1]

Part 2. Information About You (Person
applying for naturalization)

Part 2. Information About You (Person
applying for naturalization)

…

…

2. Other Names You Have Used Since Birth
(see the Instructions for this Item Number for
more information about which names to
include)

2. Other Names You Have Used Since Birth (if
any) (see the Instructions for this Item Number
for more information about which names to
include)

Family Name (Last Name) [x2]
Given Name (First Name) [x2]
Middle Name (if applicable) [x2]
…

Family Name (Last Name) [x2]
Given Name (First Name) [x2]
Middle Name (if applicable) [x2]
…

6. Date of Birth (mm/dd/yyyy)

[Moved down]

In addition to your actual date of birth, include
any other dates of birth you have ever used,
including dates used in connection with any
legal names or non-legal names, in the space
provided in Part 16. Additional Information.
[Page 2]

[Page 2]

7. If you are a lawful permanent resident,
provide the date you became a lawful
permanent resident (mm/dd/yyyy).

6. If you are a lawful permanent resident,
provide the date you became a lawful
permanent resident (mm/dd/yyyy).
Place of Birth
7.a. City/Town/Village of Birth

1

7.b. State or Province of Birth
7.c. Country of Birth

8. Country of Birth
Country of Citizenship or Nationality
9. If you are a citizen or national of more than
one country, list additional countries of
nationality in the space provided in Part 14.
Additional Information.

8. Country/Countries of Citizenship or
Nationality
If you are a citizen or national of more than one
country, list additional countries of nationality
in the space provided in Part 16. Additional
Information.
9. All Prior Countries of Citizenship or
Nationality (if applicable)
Current Passport, Travel Document, or National
Identification Document (ID) (if any) and Last
Passport, Travel Document, or National ID (if
any) Information. Provide information as
follows regarding each of your two most
recently issued passports, travel documents,
and/or National ID cards.
10.a. Current Passport
Country of Issuance
Issue Date (mm/dd/yyyy)
Expiration Date (mm/dd/yyyy)
10.b. Current Travel Document
Country of Issuance
Issue Date (mm/dd/yyyy)
Expiration Date (mm/dd/yyyy)
10.c. Current National ID
Country of Issuance
Issue Date (mm/dd/yyyy)
Expiration Date (mm/dd/yyyy)

[Page 3]
10.d. Last Passport
Country of Issuance
Issue Date (mm/dd/yyyy)
Expiration Date (mm/dd/yyyy)
10.e. Last Travel Document
Country of Issuance
Issue Date (mm/dd/yyyy)
Expiration Date (mm/dd/yyyy)
10.f. Last National ID
Country of Issuance
Issue Date (mm/dd/yyyy)
Expiration Date (mm/dd/yyyy)
10. Was your mother or father (including
adoptive mother or father) a U.S. citizen before
your 18th birthday?
Yes
No
2

11. Was your mother or father (including
adoptive mother or father) a U.S. citizen before
your 18th birthday?
Yes
No

If you answered “Yes,” you may already be a
U.S. citizen. If you are a U.S. citizen, you
should not complete Form N-400.

If you answered “Yes,” you may already be a
U.S. citizen. If you are a U.S. citizen, you
should not complete Form N-400.
12.a. Have you had or used a social media
account in the past five (5) years?
Yes, I have had or used a social media account
in the past five (5) years.
No, I have not had or used a social media
account in the past five (5) years.
12.b. If you answered “Yes,” provide the total
number of social media accounts:
[fillable field]
12.c. Enter information associated with your
online social media presence over the past five
(5) years, if any. If you have had or used an
account with a social media provider or
platform that is listed in the Instructions, enter
that information in the following table. If you
need extra space to complete this section, use
the space provided in Part 16. Additional
Information.
[Table, 7 entries]
Provider/Platform Listed in Instructions
[dropdown: Discord, Douyin, Facebook,
GroupMe, IMO, Instagram, Jodel, Kuaishou,
LinkedIn, MySpace, Pinterest, QQ, Qzone,
Reddit, Skype, Snapchat, Telegram, Threads,
TikTok, Tumblr, Twitch, VK, Weibo,
Weixin/WeChat, WhatsApp, X (Formerly
Twitter), YouTube]
Identifier/Username/Handle/Alias
Personal/Business/Organization
If you have had or used an account with a social
media provider or platform that is not listed in
the Instructions, enter that information in the
following table. If you need extra space to
complete this section, use the space provided in
Part 16. Additional Information.
[Table, 3 entries]
Provider/Platform Not Listed in Instructions
Identifier/Username/Handle/Alias
Personal/Business/Organization

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

13. Do you have a physical or developmental
disability or mental impairment that prevents
you from demonstrating your knowledge and
understanding of the English language or civics
requirements for naturalization?
Yes
No
14. Date of Birth (mm/dd/yyyy)
In addition to your actual date of birth, include
any other dates of birth you have ever used,

3

including dates used in connection with any
legal names or non-legal names, in the space
provided in Part 16. Additional Information.
Social Security Update

Social Security Update

12.a. Do you want the Social Security
Administration (SSA) to issue you an original
or replacement Social Security card and update
your immigration status with the SSA if and
when you are naturalized?
Yes (Complete Item Numbers 12.b. - 12.c.)
No (Go to Part 3.)

15.a. Do you want the Social Security
Administration (SSA) to issue you an original
or replacement Social Security card and update
your immigration status with the SSA if and
when you are naturalized?
Yes (Complete Item Numbers 15.b. - 15.c.)
No (skip Item Numbers 15.b. and 15.c.)

12.b. Provide your Social Security number
(SSN) (if any).

15.b. Provide your U.S. Social Security
Number (SSN) (if any).

12.c. Consent for Disclosure: I authorize
disclosure of information from this application
and USCIS systems to the SSA as required for
the purpose of assigning me an SSN, issuing me
an original or replacement Social Security card,
and updating my immigration status with the
SSA.
Yes
No

15.c. Consent for Disclosure: I authorize
disclosure of information from this application
and USCIS systems to the SSA as required for
the purpose of assigning me an SSN, issuing me
an original or replacement Social Security card,
and updating my immigration status with the
SSA.
Yes
No

NOTE: If you answered “Yes” to Item
Number 12.a., you must also answer “Yes” to
Item Number 12.c. Consent for Disclosure, to
receive a card.

NOTE: If you answered “Yes” to Item
Number 15.a., you must also answer “Yes” to
Item Number 15.c. Consent for Disclosure, to
receive a card.
16. Telephone Number(s) Used in the Past Five
(5) Years (include country code)
[Table, 5 entries]
Telephone Numbers (include country code)
Mobile or Landline
Personal or Business
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)

[Page 4]
17. Email Address(es) Used in the Past Ten (10)
Years (if any)
[Table, 5 entries]
Email Address(es)
Personal or Business
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)
Point of Contact Information
18. Point of Contact Name (Do not provide a
nickname)
Family Name (Last Name)
4

Given Name (First Name)
Middle Name (if applicable)
19. Point of Contact Telephone Number
20. Point of Contact Email Address

Pages 3-4,
Part 4. Information
About Your Residence

[Page 3]

[Page 5]

Part 4. Information About Your Residence

Part 4. Information About Your Residence

1. Physical Addresses
List every location where you have lived during
the last 5 years if you are filing based on the
General Provision under Part 1., Item
Number 1.a. If you are filing based on other
naturalization eligibility options, see Part 4. in
the Specific Instructions by Item Number
section of the Instructions for the applicable
period of time for which you must enter this
information. If you need extra space, use the
space provided in Part 14. Additional
Information.

List every location where you have lived during
the last 5 years. If you need extra space, use the
space provided in Part 16. Additional
Information.

…

…

[Table, 5 entries]
Physical Address (Street Number and Name)

Previous Physical Address 1
Street Number and Name
Apt./Ste./ Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Dates of Residence: From (mm/dd/yyyy)
Dates of Residence: To (mm/dd/yyyy)
Previous Physical Address 2
Street Number and Name
Apt./Ste./ Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Dates of Residence: From (mm/dd/yyyy)
Dates of Residence: To (mm/dd/yyyy)

City or Town
State/Province
ZIP Code/Postal Code
Country
Dates of Residence From
(mm/dd/yyyy)
Dates of Residence To (mm/dd/yyyy)

Previous Physical Address 3
Street Number and Name
Apt./Ste./ Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Dates of Residence: From (mm/dd/yyyy)
Dates of Residence: To (mm/dd/yyyy)
5

Pages 4-5,
Part 5. Information
About Your Marital
History

…

…

[Page 4]

[Page 6]

Part 5. Information About Your Marital
History
…

Part 5. Information About Your Marital
History
…

3. How many times have you been married?
(See the Specific Instructions by Item
Number section of the Instructions for more
information about which marriages to include.)
[Fillable field]

3. How many times have you been married?
(See the Specific Instructions by Item
Number section of the Instructions for more
information about which marriages to include.)
[Fillable field]

Provide current marriage certificate and any
divorce decree, annulment decree, or death
certificate showing that your prior marriages
were terminated (if applicable).

Provide current marriage certificate and any
divorce decree, annulment decree, or death
certificate showing that your prior marriages
were terminated (if applicable).

If you are filing under one of the categories
below, answer Item Numbers 4.a. - 8.:
• Spouse of U.S. Citizen, Part 1., Item
Number 1.b.; or
• Spouse of U.S. Citizen in Qualified
Employment Outside the United
States, Part 1., Item Number 1.d.
If you are not filing under one of the
categories above, skip to Part 6.

[deleted]

Your Current Marriage

Your Current Marriage

…

…

4.b. Current Spouse's Date of Birth
(mm/dd/yyyy)

4.b. Current Spouse's Date of Birth
(mm/dd/yyyy)
4.c. Current Spouse’s U.S. Social Security
Number (if any)
4.d. Current Spouse’s Place of Birth
City/Town/Village of Birth
State or Province of Birth
Country of Birth

4.c. Date You Entered into Marriage with
Current Spouse (mm/dd/yyyy)

4.e. Date You Entered into Marriage with
Current Spouse (mm/dd/yyyy)

4.d. Is your current spouse's present physical
address the same as your physical address?
Yes
No (If you answered “No,” provide address in
Part 14. Additional Information.)

4.f. Is your current spouse's present physical
address the same as your physical address?
Yes
No
5. If you answered “No” to Item Number 4.f.,
provide your Current Spouse’s current physical
address. If your Current Spouse’s current
whereabouts are unknown, select the box below
and skip to Item Number 6.a.

6

[] Current Spouse current whereabouts are
unknown.
In Care Of Name (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Complete the item below only if your current
spouse is a U.S. citizen. If your current spouse
is not a U.S. citizen, skip to Item Number 7.
5.a. When did your current spouse become a
U.S. citizen?
By Birth in the United States - Go to Item
Number 7.
Other - Complete Item Number 5.b.

6.a. When did your current spouse become a
U.S. citizen?
By Birth in the United States - Go to Item
Number 8.
Other - Complete Item Number 6.b.

[Page 7]
5.b. Date Your Current Spouse Became a U.S.
Citizen (mm/dd/yyyy)

6.b. Date Your Current Spouse Became a U.S.
Citizen (mm/dd/yyyy)

6. Current Spouse's Alien Registration Number
(A-Number) (if any)

7. Current Spouse's Alien Registration Number
(A-Number) (if any)
8. Current Spouse’s Telephone Number(s) Used
in the Past Five (5) Years (include country
code) (if any)
[Table, 5 entries]
Telephone Numbers (include country code)
Mobile or Landline
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)

7. How many times has your current spouse
been married? (See the Specific Instructions
by Item Number section of the Instructions for
more information about which marriages to
include.)
[Fillable field]

9. How many times has your current spouse
been married? (See the Specific Instructions
by Item Number section of the Instructions for
more information about which marriages to
include.)
[Fillable field]

Provide divorce decrees, annulment decrees, or
death certificates showing that all of your
spouse’s prior marriages were terminated (if
applicable).

Provide divorce decrees, annulment decrees, or
death certificates showing that all of your
spouse’s prior marriages were terminated (if
applicable).

8. Only answer Item Number 8. if you are
filing under Part 1., Item Number 1.d., Spouse
of U.S. Citizen in Qualified Employment
Outside the United States.

Only answer Item Number 10. if you are filing
under Part 1., Item Number 1.d., Spouse of
U.S. Citizen in Qualified Employment Outside
the United States.

7

Page 5,
Part 6. Information
About Your Children

Current Spouse's Current Employer or
Company

10. Current Spouse's Current Employer or
Company

[Page 5]

[Page 7]

Part 6. Information About Your Children

Part 6. Information About Your Children
You must indicate ALL children, including:
children who are alive, missing, or deceased;
children born in the United States or in other
countries; children under 18 years of age or
older; children living with you or elsewhere;
current stepchildren; legally adopted children
and children born when you were not married.
(See the Specific Instructions by Item
Number section of the Instructions for more
information about which children to include.)

1. Indicate your total number of children under
18 years of age.
[Fillable field]

1. Indicate your total number of children.

2. Provide the following information about your
children listed in Item Number 1. For the
residence and relationship columns, you must
type or print one of the valid options listed. If
any of your children do not reside with you,
provide the address(es) where those children
live in Part 14. Additional Information. If
you have more than three children, use the
space provided in Part 14. Additional
Information.

2. Provide the following information about all
your children, including children over 18 years
of age. If you have more than two children, use
the space provided in Part 16. Additional
Information.

[Table with 6 columns and 5 rows.]
Son or Daughter’s Name (First Name and
Family Name)

Child 1
3. Current Legal Name of Child 1
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)

Date of Birth (mm/dd/yyyy) (column 2
heading)
Residence (Valid options include: resides with
me, does not reside with me, or
unknown/missing) (column 3 heading)
Relationship
(Valid options include: biological son or
daughter, stepchild, or legally adopted son or
daughter)

4. Child 1‘s Date of Birth (mm/dd/yyyy)

Are you providing support for your son or
daughter? Yes/No

[Fillable field]

5. Child 1’s U.S. Social Security Number (if
any)
Child 1‘s Place of Birth
6.a. City/Town/Village of Birth
6.b. State or Province of Birth
6.c. Country of Birth

8

[Page 8]
7. Child 1’s Telephone Number(s) Used in the
Past Five (5) Years (include country code) (if
any)
[Table, 5 entries]
Telephone Numbers (include country code)
Mobile or Landline
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)
8. Current Address
List your Child 1’s current physical address. If
your Child 1 is deceased or if current
whereabouts are unknown, select the relevant
box below and skip to Child 2.
[] Child 1 is deceased.
[] Child 1’s current whereabouts are unknown.
In Care Of Name (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Child 2
9. Current Legal Name of Child 2
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
10. Child 2‘s Date of Birth (mm/dd/yyyy)
11. Child 2’s U.S. Social Security Number (if
any)
Child 2‘s Place of Birth
12.a. City/Town/Village of Birth
12.b. State or Province of Birth
12.c. Country of Birth

[Page 9]
13. Child 2’s Telephone Number(s) Used in the
Past Five (5) Years (include country code) (if
any)
9

[Table, 5 entries]
Telephone Numbers (include country code)
Mobile or Landline
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)
14. Current Address
List your Child 2’s current physical address. If
your Child 2 is deceased or if current
whereabouts are unknown, select the relevant
box below and skip to Part 7. Information
About Your Parents.
[] Child 2 is deceased.
[] Child 2’s current whereabouts are unknown.
In Care Of Name (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country

New

[Page 9]
Part 7. Information About Your Parents
Provide the information about your parents even
if deceased.
Parent 1
1. Current Legal Name of Parent 1
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
2. Parent 1’s Date of Birth (mm/dd/yyyy)
3. Parent 1’s U.S. Social Security Number (if
any)
Parent 1‘s Place of Birth
4.a. City/Town/Village of Birth
4.b. State or Province of Birth
4.c. Country of Birth

[Page 10]
5. Parent 1’s Telephone Number(s) Used in the
Past Five (5) Years (include country code) (if
any)
[Table, 5 entries]
Telephone Numbers (include country code)
10

Mobile or Landline
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)
6. Current Address
List your Parent 1’s current physical address. If
your Parent 1 is deceased or if current
whereabouts are unknown, select the relevant
box below and skip to Parent 2.
[] Parent 1 is deceased.
[] Parent 1’s current whereabouts are unknown.
In Care Of Name (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
Zip Code
Province
Postal Code
Country
Parent 2
7. Current Legal Name of Parent 2
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
8. Parent 2’s Date of Birth (mm/dd/yyyy)
9. Parent 2’s U.S. Social Security Number (if
any)
Parent 2‘s Place of Birth
10.a. City/Town/Village of Birth
10.b. State or Province of Birth
10.c. Country of Birth

[Page 11]
11. Parent 2’s Telephone Number(s) Used in the
Past Five (5) Years (include country code) (if
any)
[Table, 5 entries]
Telephone Numbers (include country code)
Mobile or Landline
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)
12. Current Address
List your Parent 2’s current physical address. If
your Parent 2 is deceased or if current
whereabouts are unknown, select the relevant
11

box below and skip to Part 8. Information
About Your Siblings.
[] Parent 2 is deceased.
[] Parent 2’s current whereabouts are unknown.
In Care Of Name (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
Zip Code
Province
Postal Code
Country

New

[Page 11]
Part 8. Information About Your Siblings
Provide information about all of your siblings
(including half-siblings and step-siblings), even
if deceased. If you do not have any siblings,
please skip to Part 9.
If you have more than two siblings, use the
space provided in Part 16. Additional
Information.
Sibling 1
1. Current Legal Name of Sibling 1
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
2. Sibling 1’s Date of Birth (mm/dd/yyyy)
3. Sibling 1’s U.S. Social Security Number (if
any)
Sibling 1‘s Place of Birth
4.a. City/Town/Village of Birth
4.b. State or Province of Birth
4.c. Country of Birth

[Page 12]
5. Sibling 1’s Telephone Number(s) Used in
the Past Five (5) Years (include country code)
(if any)
[Table, 5 entries]
Telephone Numbers (include country code)
Mobile or Landline
Date Use of Started (mm/dd/yyyy)
Date Use of Ended (mm/dd/yyyy)
12

6. Current Address
List your Sibling 1’s current physical address.
If your Sibling 1 is deceased or if current
whereabouts are unknown, select the relevant
box below and skip to Sibling 2.
[] Sibling 1 is deceased.
[] Sibling 1’s current whereabouts are unknown.
In Care Of Name (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
Zip Code
Province
Postal Code
Country
Sibling 2
7. Current Legal Name of Sibling 2
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
8. Sibling 2‘s Date of Birth (mm/dd/yyyy)
9. Sibling 2’s U.S. Social Security Number (if
any)
Sibling 2‘s Place of Birth
10.a. City/Town/Village of Birth
10.b. State or Province of Birth
10.c. Country of Birth

[Page 13]
11. Sibling 2’s Telephone Number(s) Used in
the Past Five (5) Years (include country code)
(if any)
[Table, 5 entries]
Telephone Numbers (include country code)
Mobile or Landline
Date Use Started (mm/dd/yyyy)
Date Use Ended (mm/dd/yyyy)
12. Current Address
List your Sibling 2’s current physical address.
If your Sibling 2 is deceased or if current
whereabouts are unknown, select the relevant
box below and skip to Part 9. Information
About Your Employment and Schools You
Attended.
13

[] Sibling 2 is deceased.
[] Sibling 2’s current whereabouts are unknown.
In Care Of Name (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
Zip Code
Province
Postal Code
Country

Page 6,
Part 7. Information
About Your
Employment and
Schools You Attended

[Page 6]

[Page 13]

Part 7. Information About Your
Employment and Schools You Attended

Part 9. Information About Your
Employment and Schools You Attended

1. List where you have worked or attended
school full time or part time during the last 5
years if you are filing based on the general
provision under Part 1., Item Number 1.a. If
you are filing based on other naturalization
eligibility options, see Part 7. in the Specific
Instructions by Item Number section of the
Instructions for the applicable period of time for
which you must enter this information. Provide
information for the complete time period for all
employment, including foreign government
employment such as military, police, and
intelligence services. Begin by providing
information about your most recent or current
employment, studies, or unemployment.
Provide the locations and dates where you
worked, were self-employed, were unemployed,
or have studied. If you worked for yourself and
not for a specific employer, type or print “selfemployed” for the employer name. If you were
unemployed, type or print “unemployed.” If
you are retired, type or print “retired.” If you
need extra space to complete Part 7., use the
space provided in Part 14. Additional
Information.

1. List where you have worked or attended
school full time or part time during the last 5
years if you are filing based on the general
provision under Part 1., Item Number 1.a. If
you are filing based on other naturalization
eligibility options, see Part 9. in the Specific
Instructions by Item Number section of the
Instructions for the applicable period of time for
which you must enter this information. Provide
information for the complete time period for all
employment, including foreign government
employment such as military, police, and
intelligence services. Begin by providing
information about your most recent or current
employment, studies, or unemployment.
Provide the locations and dates where you
worked, were self-employed, were unemployed,
or have studied. If you worked for yourself and
not for a specific employer, type or print “selfemployed” for the employer name. If you were
unemployed, type or print “unemployed.” If
you are retired, type or print “retired.” If you
need extra space to complete Part 9., use the
space provided in Part 16. Additional
Information.

[Table] 3 umbrella columns, divided into 8 sub
columns, 3 rows. 3rd umbrella column has 4
rows with no sub columns.

1. School Information From the Past Five (5)
Years (if any)

Employer or School (umbrella column 1
heading)
Name (subcolumn 1 under umbrella column 1)
City/Town (subcolumn 2 under umbrella
column 1)
Zip Code/Postal Code (subcolumn 3 under
umbrella column 1)
Country (subcolumn 4 under umbrella column
1)
Employment/School Dates (umbrella column 2
heading)
14

School 1
Name
City or Town
State/Province
ZIP Code/Postal Code
Country
Dates From
Dates To
Field of Study
School 2
Name
City or Town
State/Province

From (mm/dd/yyyy) (subcolumn 1 under
umbrella column 2)
To (mm/dd/yyyy) (subcolumn 2 under umbrella
column 2)
Occupation or Field of Study (column 3
heading)
Rows 1 – 3 under the subcolumns + Rows 1-3
under Occupation or Field of Study are
fillable fields.

ZIP Code/Postal Code
Country
Dates From
Dates To
Field of Study
School 3
Name
City or Town
State/Province
ZIP Code/Postal Code
Country
Dates From
Dates To
Field of Study
2. Employer/Business Information From the
Past Five (5) Years (if any)
Employer 1
Employer/Business Name
Employer/Business Mailing Address (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Employer/Business Physical Address (if
different from Mailing Address) (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
U.S. Business Federal Employer Identification
Number (FEIN) (or other country equivalent) (if
any)
Occupation
Date From (mm/dd/yyyy)
Date To (mm/dd/yyyy)
Employer 2
Employer/Business Name
Employer/Business Mailing Address (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code

15

Province
Postal Code
Country
Employer/Business Physical Address (if
different from Mailing Address) (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
U.S. Business FEIN (or other country
equivalent) (if any)
Occupation
Date From (mm/dd/yyyy)
Date To (mm/dd/yyyy)
Employer 3
Employer/Business Name
Employer/Business Mailing Address (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Employer/Business Physical Address (if
different from Mailing Address) (if any)
Street Number and Name
Apt./Ste./Flr. Number
City or Town
State
ZIP Code
Province
Postal Code
Country
U.S. Business FEIN (or other country
equivalent) (if any)
Occupation
Date From (mm/dd/yyyy)
Date To (mm/dd/yyyy)
[Page 6]
Page 6,
Part 8. Time Outside the
Part 8. Time Outside the United States
United States
1. List below all the trips that you have taken
outside the United States during the last 5 years
16

[Page 14]
Part 10. Time Outside the United States
1. List below all the trips that you have taken
outside the United States during the last 5 years

Pages 7-11,
Part 9. Additional
Information About You

if you are filing based on the general provision
under Part 1., Item Number 1.a. If you are
filing based on other naturalization eligibility
options, see Part 8. in the Specific Instructions
by Item Number section of the Instructions for
the applicable period of time for which you
must enter this information. Start with your
most recent trip and work backwards. Do not
include day trips (where the entire trip was
completed within 24 hours) in the table. If you
have taken any trips outside the United States
that lasted more than 6 months, see the
Required Evidence - Continuous Residence
section of the Instructions for evidence you
should provide. If you need extra space to
complete this section, use the space provided in
Part 14. Additional Information.
…

if you are filing based on the general provision
under Part 1., Item Number 1.a. If you are
filing based on other naturalization eligibility
options, see Part 10. in the Specific
Instructions by Item Number section of the
Instructions for the applicable period of time for
which you must enter this information. Start
with your most recent trip and work backwards.
Do not include day trips (where the entire trip
was completed within 24 hours) in the table. If
you have taken any trips outside the United
States that lasted more than 6 months, see the
Required Evidence - Continuous Residence
section of the Instructions for evidence you
should provide. If you need extra space to
complete this section, use the space provided in
Part 16. Additional Information.
…

[Page 7]

[Page 14]

Part 9. Additional Information About You

Part 11. Additional Information About You

When a question includes the word “EVER,”
you must provide information about any of your
actions or conduct that occurred anywhere in
the world at any time, unless the question
specifies otherwise. If you answer “Yes” to any
of the questions in Part 9., Item Numbers 1. 14., provide explanations and any additional
information in the space provided in Part 14.
Additional Information.
…

When a question includes the word “EVER,”
you must provide information about any of your
actions or conduct that occurred anywhere in
the world at any time, unless the question
specifies otherwise. If you answer “Yes” to any
of the questions in Part 11., Item Numbers 1. 14., provide explanations and any additional
information in the space provided in Part 16.
Additional Information.
…

[Page 15]
8.b. Have you EVER served in, been a member
of, assisted (helped), or participated in any
armed group (a group that carries weapons), for
example: paramilitary unit (a group of people
who act like a military group but are not part of
the official military), self-defense unit, vigilante
unit, rebel group, or guerrilla group?
Yes
No

8.b. Have you EVER served in, been a member
of, assisted (helped), or participated in any
armed group (a group that carries weapons), for
example: paramilitary unit (a group of people
who act like a military group but are not part of
the official military), self-defense unit, vigilante
unit, rebel group, or guerrilla group?
Yes
No

If you answered “Yes” to Item Number 8.a. or
Item Number 8.b., include the name of the
country, the name of the military unit or armed
group, your rank or position, and your dates of
involvement in your explanation in Part 14.
Additional Information.
…

If you answered “Yes” to Item Number 8.a. or
Item Number 8.b., include the name of the
country, the name of the military unit or armed
group, your rank or position, and your dates of
involvement in your explanation in Part 16.
Additional Information.
…

[Page 16]

17

If you answer “Yes” to any part of Item
Number 15. below, complete the table below
with each crime or offense even if your
records have been sealed, expunged, or
otherwise cleared. You must disclose this
information even if someone, including a judge,
law enforcement officer, or attorney, told you
that it is no longer on your record, or told you
that you do not have to disclose the information.
If you need extra space, use the space provided
in Part 14. Additional Information. Submit
evidence to support your answers with your
Form N-400.
…

If you answer “Yes” to any part of Item
Number 15. below, complete the table below
with each crime or offense even if your
records have been sealed, expunged, or
otherwise cleared. You must disclose this
information even if someone, including a judge,
law enforcement officer, or attorney, told you
that it is no longer on your record, or told you
that you do not have to disclose the information.
If you need extra space, use the space provided
in Part 16. Additional Information. Submit
evidence to support your answers with your
Form N-400.
…

[Page 17]
16. If you received a suspended sentence, were
placed on probation, or were paroled, have you
completed your suspended sentence, probation,
or parole?
Yes
No

16. If you received a suspended sentence, were
placed on probation, or were paroled, have you
completed your suspended sentence, probation,
or parole?
Yes
No

If you answer “Yes” to any of the questions in
Item Numbers 17.a. - 19., provide an
explanation in the space provided in Part 14.
Additional Information. Submit evidence to
support your answers.
…

If you answer “Yes” to any of the questions in
Item Numbers 17.a. - 19., provide an
explanation in the space provided in Part 16.
Additional Information. Submit evidence to
support your answers.
…

[Page 10]
19. 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

19. 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

If you answer “Yes” to Item Numbers 20. or
21. below, provide an explanation in the space
provided in Part 14. Additional Information
and see the Specific Instructions by Item
Number, Part 9. Additional Information
About You of the Instructions for more
information.
…

If you answer “Yes” to Item Numbers 20. or
21. below, provide an explanation in the space
provided in Part 16. Additional Information
and see the Specific Instructions by Item
Number, Part 11. Additional Information
About You of the Instructions for more
information.
…

22.c. If you answered “Yes,” to Item Number
22.b., provide information about your
registration.
Date Registered (mm/dd/yyyy)
Selective Service Number

22.c. If you answered “Yes,” to Item Number
22.b., provide information about your
registration.
Date Registered (mm/dd/yyyy)
Selective Service Number

If you answered “No,” to Item Number 22.b.
see the Specific Instructions by Item Number,

If you answered “No,” to Item Number 22.b.
see the Specific Instructions by Item Number,

18

Part 9. Additional Information About You of
the Instructions for more information.

Part 11. Additional Information About You
of the Instructions for more information.

If you answer “Yes” to Item Numbers 23. or
24., provide an explanation in the space
provided in Part 14. Additional Information.
…

If you answer “Yes” to Item Numbers 23. or
24., provide an explanation in the space
provided in Part 16. Additional Information.
…

[Page 18]

Page 11,
Part 10. Request for a
Fee Reduction

Pages 11-12,
Part 11. Applicant’s
Contact Information,

26.d. If you answered “No” to Item Number
26.a., are you a former U.S. military service
member who is currently residing outside of the
U.S.?
Yes
No

26.d. If you answered “No” to Item Number
26.a., are you a former U.S. military service
member who is currently residing outside of the
U.S.?
Yes
No

If you answer “Yes” to Item Numbers 27., 28.
or 29., provide an explanation in the space
provided in Part 14. Additional Information.

If you answer “Yes” to Item Numbers 27., 28.
or 29., provide an explanation in the space
provided in Part 16. Additional Information.

For Item Numbers 30.a. - 37. see Specific
Instructions by Item Number, Part 9.
Additional Information About You. If you
answer “Yes” to Item Number 30.a., provide
an explanation in the space provided in Part 14.
Additional Information.
…

For Item Numbers 30.a. - 37. see Specific
Instructions by Item Number, Part 11.
Additional Information About You. If you
answer “Yes” to Item Number 30.a., provide
an explanation in the space provided in Part 16.
Additional Information.
…

32. Do you understand the full Oath of
Allegiance to the United States (see Part 16.
Oath of Allegiance)?
Yes
No
…

32. Do you understand the full Oath of
Allegiance to the United States (see Part 18.
Oath of Allegiance)?
Yes
No
…

[Page 11]

[Page 18]

Part 10. Request for a Fee Reduction

Part 12. Request for a Fee Reduction

For information about fees, fee waivers, and
reduced fees, see Form G-1055, Fee Schedule,
at www.uscis.gov/g-1055. To apply for a
reduced fee, complete Item Numbers 1. - 5.b.
If you are not eligible for a reduced fee,
complete Item Number 1. and proceed to Part
11.

For information about fees, fee waivers, and
reduced fees, see Form G-1055, Fee Schedule,
at www.uscis.gov/g-1055. To apply for a
reduced fee, complete Item Numbers 1. - 5.b.
If you are not eligible for a reduced fee,
complete Item Number 1. and proceed to Part
13.

1. My household income is less than or equal to
400% of the Federal Poverty Guidelines (see
Instructions for required documentation).
Yes (complete Item Numbers 2. - 5.b.)
No (skip to Part 11.)
…

1. My household income is less than or equal to
400% of the Federal Poverty Guidelines (see
Instructions for required documentation).
Yes (complete Item Numbers 2. - 5.b.)
No (skip to Part 13.)
…

[Page 11]

[Page 19]

Part 11. Applicant’s Contact Information,
Certification, and Signature

Part 13. Applicant’s Contact Information,
Certification, and Signature

19

Certification, and
Signature

Applicant’s Contact Information
Provide your daytime telephone number, mobile
telephone number (if any), and email address (if
any).
1. Applicant’s Daytime Telephone Number
2. Applicant’s Mobile Telephone Number (if
any)
3. Applicant’s Email Address (if any)

[Page 12]
Applicant's Certification and Signature
I certify, under penalty of perjury, that I
provided or authorized all of the responses and
information contained in and submitted with my
application, I read and understand or, if
interpreted to me in a language in which I am
fluent by the interpreter listed in Part 12.,
understood, all of the responses and information
contained in, and submitted with, my
application, and that all of the responses and the
information are complete, true, and correct.
Furthermore, I authorize the release of any
information from any and all of my records that
USCIS may need to determine my eligibility for
an immigration request and to other entities and
persons where necessary for the administration
and enforcement of U.S. immigration law.
…

Page 12,
Part 12. Interpreter’s
Contact Information,
Certification, and
Signature
Page 13,
Part 13. Contact
Information,
Certification, and
Signature of the Person
Preparing This
Application, if Other
Than the Applicant
Page 14,
Part 14. Additional
Information

1. Applicant’s Daytime Telephone Number
(include country code)
2. Applicant’s Mobile Telephone Number (if
any) (include country code)
3. Applicant’s Email Address (if any)

Applicant's Certification and Signature
I certify, under penalty of perjury, that I
provided or authorized all of the responses and
information contained in and submitted with my
application, I read and understand or, if
interpreted to me in a language in which I am
fluent by the interpreter listed in Part 14.,
understood, all of the responses and information
contained in, and submitted with, my
application, and that all of the responses and the
information are complete, true, and correct.
Furthermore, I authorize the release of any
information from any and all of my records that
USCIS may need to determine my eligibility for
an immigration request and to other entities and
persons where necessary for the administration
and enforcement of U.S. immigration law.
…

[Page 12]

[Page 19]

Part 12. Interpreter's Contact Information,
Certification, and Signature
…

Part 14. Interpreter's Contact Information,
Certification, and Signature
…

[Page 13]

[Page 30]

Part 13. Contact Information, Certification,
and Signature of the Person Preparing this
Application, if Other Than the Applicant
…

Part 15. Contact Information, Certification,
and Signature of the Person Preparing this
Application, if Other Than the Applicant
…

[Page 14]

[Page 21]

Part 14. Additional Information
…

Part 16. Additional Information
…

20

NOTE: Do not complete Parts 15. or 16.
until the USCIS officer instructs you to do so
at the interview.

NOTE: Do not complete Parts 17. or 18.
until the USCIS officer instructs you to do so
at the interview.

Page 15,
Part 15. Signature at
Interview

[Page 15]

[Page 22]

Part 15. Signature at Interview
…

Part 17. Signature at Interview
…

Page 15,
Part 16. Oath of
Allegiance

[Page 15]

[Page 22]

Part 16. Oath of Allegiance
…

Part 18. Oath of Allegiance
…

21