Form N-400 Edition 04/01/24 Page 1 of 14

Application for Naturalization 

Department of Homeland Security 

U.S. Citizenship and Immigration Services 

USCIS 

Form N-400 

OMB No. 1615-0052 

Expires 02/28/2027

For 

USCIS 

Use 

Only

VAWA. See Instructions: Eligibility for the Spouse, Former Spouse, or Child of a U.S. Citizen under the Violence 

Against Women Act (VAWA)

C.

B. Spouse of U.S. Citizen. See Instructions: Eligibility Based on Marriage to a U.S. Citizen

General Provision. See Instructions: List of General Eligibility Requirements 

1. Reason for Filing (Please see Instructions for eligibility requirements under each provision.):

Part 1. Information About Your Eligibility (Select only one box to identify 

the basis of your eligibility or your Form N-400 may be delayed or rejected.)

Enter Your 9 Digit A-Number:

Date Stamp

Remarks

 START HERE - Type or print in black ink. If you do not answer all of the questions, it may take longer for U.S. Citizenship 

and Immigration Services (USCIS) to process your Form N-400.

► AReceipt Action Block

►

If your parent (including legal adoptive parent) is a U.S. citizen by birth, or was naturalized before you reached your 18th birthday, 

you may not need to file Form N-400 as you may already be a U.S. citizen. Before you file this application, please visit the USCIS 

website at www.uscis.gov/N-600 for Form N-600, Application for Certificate of Citizenship.

Military Service During Period of Hostilities. See Instructions: Eligibility and Evidence for Current and Former 

Members of the U.S. Armed Forces

E.

At Least One Year of Honorable Military Service at Any Time. See Instructions: Eligibility and Evidence for 

Current and Former Members of the U.S. Armed Forces

F.

G. Other Reason for Filing Not Listed Above 

D. Spouse of U.S. Citizen in Qualified Employment Outside the United States. See Instructions: Eligibility for the 

Spouse of a U.S. Citizen Working for a Qualified Employer Outside the United States

If your residential address is outside the United States and you are filing under Immigration and Nationality Act 

(INA) section 319(b), select the USCIS field office where you would like to have your naturalization interview. You 

can find a USCIS field office at www.uscis.gov/field-offices.

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

Your Current Legal Name (do not provide a nickname)

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

1.

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

to include)

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

2.

A.
Form N-400 Edition 04/01/24 Page 2 of 14

ARead the Instructions for this Item Number before you decide whether you would like to legally change your name.

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

►

4. USCIS Online Account Number (if any) Gender

Male Female

5.

8. Country of Birth 

7. If you are a lawful permanent resident, provide the date you became 

9. Country of Citizenship or Nationality

10. Was one of your parents (including adoptive parents) a U.S. citizen before your 18th birthday?

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. 

Yes No

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.

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? 

12.a.

No (Go to Part 3.)

Yes (Complete Item Numbers 12.b. - 12.c.)

12.b. Provide your 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

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. 

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

If you answered “Yes,” submit a completed Form N-648, Medical Certification for Disability Exceptions, when you file your 

Form N-400. See the Naturalization Testing and Exceptions section of the Instructions for additional information about 

exceptions from the English language test, including exceptions based on age and years as a lawful permanent resident.

Another Gender Identity 

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

Name Change (Optional)

Social Security Update

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 14. Additional Information.

a lawful permanent resident (mm/dd/yyyy).

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

If you answered “Yes,” type or print the new name you would like to use:

3. Would you like to legally change your name? Yes No (skip to Item Number 4.)
Form N-400 Edition 04/01/24 Page 3 of 14

Part 3. Biographic Information AAmerican Indian 

or Alaska Native

NOTE: USCIS requires you to complete the categories below to conduct background checks. (See the Form N-400 Instructions for 

more information.)

2. Race (Select all applicable boxes)

Native Hawaiian or 

Other Pacific Islander

Black or 

African American

Asian White

Hispanic or Latino Not Hispanic or Latino

1. Ethnicity (Select only one box)

3. Height Feet Inches 4. Weight Pounds

5.

Black Blue Brown Gray Green Hazel Maroon Pink Unknown/ 

Other

Eye color (Select only one box)

Bald 

(No hair)

Black Blond Brown Gray Red Sandy White

6. Hair color (Select only one box)

Unknown/

Other

Part 4. Information About Your Residence

Physical Address 

(Street Number and Name) City or Town

Dates of Residence 

From 

(mm/dd/yyyy)

To 

(mm/dd/yyyy)

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.

2. Is your current physical address also your current mailing address?

Yes (If you answered “Yes,” skip to Part 5.) No

ZIP Code/ 

Postal Code

State / 

Province Country

City or Town State ZIP Code 

Street Number and Name

In Care Of Name (if any)

Apt. Ste. Flr. Number

Province Postal Code Country

Current Physical Address 

Dates of Residence: From (mm/dd/yyyy) Dates of Residence: To (mm/dd/yyyy) PRESENT
Form N-400 Edition 04/01/24 Page 4 of 14

Part 4. Information About Your Residence (continued) ACity or Town State ZIP Code 

Street Number and Name

In Care Of Name (if any)

Apt. Ste. Flr. Number

Province Postal Code Country

3. Current Mailing Address (Safe Mailing Address, if applicable) 

Part 5. Information About Your Marital History 

What is your current marital status?

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.) 

1.

3.

Single, Never Married Married Divorced Widowed Separated Marriage Annulled 

2. If you are currently married, is your spouse a current member of the U.S. armed forces? Yes No

If you are single and have never married, go to Part 6. Information About Your Children.

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 not filing under one of the categories above, skip to Part 6.

Your Current Marriage

If you are currently married, including if you are legally separated, provide the following information about your current spouse.

4.a. Current Spouse's Legal Name

Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)

4.b. Current Spouse's Date of Birth 

(mm/dd/yyyy)

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?

No (If you answered “No,” provide address in Part 14. Additional Information.) 

Yes

4.c.

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

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.

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.
Form N-400 Edition 04/01/24 Page 5 of 14

Part 5. Information About Your Marital History (continued) A6. Current Spouse's Alien Registration Number (A-Number) (if any) ► AHow 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.) 

7.

Provide divorce decrees, annulment decrees, or death certificates showing that all of your spouse's prior marriages were 

terminated (if applicable).

8. Current Spouse's Current Employer or Company 

1. Indicate your total number of children under 18 years of age.

Provide the following information about your children identified 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.

Child's Name 

(First Name and Family Name)

Residence 

(Valid options include: 

resides with me, does not 

reside with me, or unknown/

missing) 

Date of Birth 

(mm/dd/yyyy)

Relationship 

(Valid options include: 

biological child, 

stepchild, legally adopted 

child)

Part 6. Information About Your Children 

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.

Yes No

Are you 

providing 

support for this 

child?

Yes No

Yes No

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 “self-employed” 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.

Occupation or 

Name City/Town Field of Study

Employment/School Dates 

PRESENT

From 

(mm/dd/yyyy)

To 

(mm/dd/yyyy)

Part 7. Information About Your Employment and Schools You Attended 

State/

Province

ZIP Code/

Postal Code 

Employer or School 

Country
Form N-400 Edition 04/01/24 Page 6 of 14

List below all the trips that you have taken outside the United States 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 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.

Date You Left the 

United States 

(mm/dd/yyyy)

Date You Returned 

to the United States 

(mm/dd/yyyy)

Countries to 

Which You 

Traveled

Part 8. Time Outside the United States A1.

Part 9. 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 Item 

Numbers 1. - 14. in Part 9. Item Numbers 1. - 14., provide explanations and any additional information in the space provided in 

Part 14. Additional Information. 

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

States? If you lawfully voted only in a local election where noncitizens are eligible to vote, you may 

answer “No.”

2.

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

3. Do you currently owe any overdue Federal, state, or local taxes in the United States? Yes No

Since you became a lawful permanent resident, have you called yourself a “nonresident alien” on a 

Federal, state, or local tax return or decided not to file a tax return because you considered yourself to 

be a nonresident?

4. Yes No

Been a member of, involved in, or in any way associated with any Communist or totalitarian party 

anywhere in the world? 

5.a. Yes No

Have you EVER:

The unlawful assaulting or killing of any officer or officers of the Government of the United States 

or of any other organized government because of their official character;

The unlawful damage, injury, or destruction of property; or

Sabotage?

Advocated (supported and promoted) any of the following, or been a member of, involved in, or in any Yes No

way associated with any group anywhere in the world that advocated any of the following:

5.b.

The overthrow by force or violence or other unconstitutional means of the Government of the 

United States or all forms of law;

Opposition to all organized government;

World communism;

The establishment in the United States of a totalitarian dictatorship;
Form N-400 Edition 04/01/24 Page 7 of 14

Part 9. Additional Information About You (continued)

Used a weapon or explosive with intent to harm another person or cause damage to property? Yes No

Yes No

Yes No

6.a.

Engaged (participated) in kidnapping, assassination, or hijacking or sabotage of an airplane, ship, 

vehicle, or other mode of transportation? 

6.b.

6.c. Threatened, attempted (tried), conspired (planned with others), prepared, planned, advocated for, or 

incited (encouraged) others to commit any of the acts listed in Item Numbers 6.a. or 6.b.? 

Have you EVER been a member of, involved in, or in any way associated with, or have you EVER provided money, a thing of 

value, services or labor, or any other assistance or support to a group that: 

Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following:

Torture? 

Genocide?

Killing or trying to kill any person? 

7.a. Yes No

7.b.

7.c.

Yes No

Yes No

Any kind of sexual contact or activity with any person who did not consent (did not agree) or was 

unable to consent (could not agree), or was being forced or threatened by you or by someone else?

Intentionally and severely injuring or trying to injure any person?

Not letting someone practice their religion?

Yes No

Yes No

Yes No

7.d.

7.e.

7.f.

AHave you EVER served in, been a member of, assisted (helped), or participated in any military or 

police unit? 

8.a. 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.

Have you EVER worked, volunteered, or otherwise served in a place where people were detained 

(forced to stay), for example, a prison, jail, prison camp (a camp where prisoners of war or political 

prisoners are kept), detention facility, or labor camp, or have you EVER directed or participated in any 

other activity that involved detaining people?

9. Yes No

10.a.

No

Yes No

If you answered “Yes” to Item Number 10.a., when you were part of this group, or when you helped Yes

this group, did you ever use a weapon against another person?

Were you EVER a part of any group, or did you EVER help any group, unit, or organization that used 

a weapon against any person, or threatened to do so?

Yes No

10.c.

10.b.

If you answered “Yes” to Item Number 10.a., when you were part of this group, or when you helped 

this group, did you ever threaten another person that you would use a weapon against that person?

Causing harm or suffering to any person because of their race, religion, national origin, membership in Yes No

a particular social group, or political opinion?

7.g.

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? 

8.b. Yes No

Have you EVER received any weapons training, paramilitary training, or other military-type training? 

11. Have you EVER sold, provided, or transported weapons, or assisted any person in selling, providing, Yes No

or transporting weapons, which you knew or believed would be used against another person?

12. Yes No

Have you EVER recruited (asked), enlisted (signed up), conscripted (required to join), or used any 

person under 15 years of age to serve in or help an armed group, or attempted or worked with others to 

do so? 

13. Yes No

Have you EVER used any person under 15 years of age to take part in hostilities or attempted or 

worked with others to do so? This could include participating in combat or providing services related 

to combat (such as serving as a messenger or transporting supplies). 

14. Yes No
Form N-400 Edition 04/01/24 Page 8 of 14

Part 9. Additional Information About You (continued) AIf 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.

Include all the crimes and offenses in the United States or anywhere in the world (including domestic violence, driving under the 

influence of drugs or alcohol, and crimes and offenses while you were under 18 years of age) which you EVER: 

Committed, agreed to commit, or asked someone else to commit;

Were arrested, cited, detained, or confined by any law enforcement officer, military official (in the U.S. or elsewhere), or 

immigration official;

Were charged with committing, helping commit, or trying to commit;

Pled guilty to; 

Were convicted of;

Were placed in alternative sentencing or a rehabilitative program for (for example, diversion, deferred prosecution, withheld 

adjudication, or deferred adjudication); or

Received a suspended sentence, clemency, amnesty, or pardon for, or were placed on probation or paroled for.

Have you EVER committed, agreed to commit, asked someone else to commit, helped commit, or 

tried to commit a crime or offense for which you were NOT arrested?

Yes No

Yes No

15.a.

Have you EVER been arrested, cited, detained or confined by any law enforcement officer, military 

official (in the U.S. or elsewhere), or immigration official for any reason, or been charged with a crime 

or offense?

15.b.

Place of Crime or 

Offense (City or 

Town, State, Country)

What was the result or 

disposition of the arrest, 

citation, or 

charge? (no charges 

filed, convicted, charges 

dismissed, detention, 

jail, probation, etc.)

What was the crime or 

offense? (If convicted, 

provide crime of conviction. 

If not convicted, provide 

crime or offense listed in 

arrest, citation, charging 

document, or crime 

committed.) 

Date of the Crime 

or Offense 

(mm/dd/yyyy)

Date of your 

conviction or 

guilty plea 

(if applicable) 

(mm/dd/yyyy)

What was your 

sentence 

(if applicable)? 

(For example, 

90 days in jail, 

90 days on 

probation)

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 received a suspended sentence, were placed on probation, or were paroled, have you completed 

your suspended sentence, probation, or parole?

16. Yes No
Form N-400 Edition 04/01/24 Page 9 of 14

Part 9. Additional Information About You (continued) AEngaged in prostitution, attempted to procure or import prostitutes or persons for the purpose of Yes No

prostitution, or received any proceeds or money from prostitution?

17.a.

Manufactured, cultivated, produced, distributed, dispensed, sold, or smuggled (trafficked) any Yes No

controlled substances, illegal drugs, narcotics, or drug paraphernalia in violation of any law or 

regulation of a U.S. state, the United States, or a foreign country?

17.b.

Have you EVER:

Married someone in order to obtain an immigration benefit?

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

17.d. Yes No

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

Failed to support your dependents (pay child support) or to pay alimony (court-ordered financial 

support after divorce or separation)?

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

17.g. Yes No

17.f. Gambled illegally or received income from illegal gambling? Yes No

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

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

21.

If you answer “Yes” to Item Numbers 20. - 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.

22.a. Are you a person born as a male who lived in the United States at any time between your 18th and 26th Yes No

birthdays? (Do not select “Yes” if you were a lawful nonimmigrant for all of that time period.)

Date Registered (mm/dd/yyyy) Selective Service Number

22.b. If you answered “Yes,” to Item Number 22.a., did you register for the Selective Service? Yes No

22.c. If you answered “Yes,” to Item Number 22.b., provide information about your registration.

If you answered “No,” to Item Number 22.b. see the Specific Instructions by Item Number, Part 9. Additional Information 

About You of the Instructions for more information.

Federal Law requires nearly all people born as male who are either U.S. citizens or immigrants, 18 through 25 years of age, to register 

with Selective Service. See www.sss.gov.

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?

19. Yes No

Have you EVER given any U.S. Government officials any information or documentation that was 

false, fraudulent, or misleading?

18. Yes No

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

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

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

25. Have you EVER served in the U.S. armed forces? Yes No
Form N-400 Edition 04/01/24 Page 10 of 14

Part 9. Additional Information About You (continued) AIf you answered “Yes” to Item Number 26.a., are you scheduled to deploy outside the United States, 

including to a vessel, within the next 3 months? (Call the Military Help Line at 877-247-4645 if you 

transfer to a new duty station after you file your Form N-400, including if you are deployed outside the 

United States or to a vessel.)

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

26.b. Yes No

26.c. If you answered “Yes,” to Item Number 26.a., are you currently stationed outside the United States? Yes No

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.?

26.d. Yes No

Have you EVER been discharged from training or service in the U.S. armed forces because you were 

an alien?

27.

28.

Have you EVER been court-martialed or have you received a discharge characterized as other than 

honorable, bad conduct, or dishonorable, while in the U.S. armed forces?

Yes No

Yes No

If you answer “Yes” to Item Numbers 27. - 29., 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 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.

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

Do you now have, or did you EVER have, a hereditary title or an order of 

nobility in any foreign country?

30.a. Yes No (skip to Item Number 31.)

30.b. If you answered “Yes,” to Item Number 30.a., are you willing to give up any inherited titles or orders Yes No

31. Do you support the Constitution and form of Government of the United States? 

Do you understand the full Oath of Allegiance to the United States (see Part 16. Oath of Allegiance)?

34.

No

Yes No

Yes

32.

If the law requires it, are you willing to bear arms (carry weapons) on behalf of the United States?

If the law requires it, are you willing to perform noncombatant services (do something that does not 

include fighting in a war) in the U.S. armed forces?

36.

Yes

Yes No

No

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

35.

If the law requires it, are you willing to perform work of national importance under civilian direction 

(do non-military work that the U.S. Government says is important to the country)?

37. Yes No

Are you unable to take the Oath of Allegiance because of a physical or developmental disability or 

mental impairment? If you answer “Yes,” skip Item Numbers 34. - 37. and see the Legal Guardian, 

Surrogate, or Designated Representative section in the Instructions.

Yes No 33.

If you answer “'No” to any question except Item Number 33., see the Oath of Allegiance section of the Instructions for more 

information.

of nobility, (list titles), that you have in a 

foreign country at your naturalization ceremony?

If you answered “No” to Item Number 25., go to Item Number 30.a.
Form N-400 Edition 04/01/24 Page 11 of 14

Part 10. Request for a Fee Reduction APart 11. Applicant's Contact Information, Certification, and Signature

Applicant's Contact Information

Applicant's Certification and Signature

Applicant's Signature (or signature of a legal guardian, surrogate, or designated 

representative, if applicable)

Date of Signature 

(mm/dd/yyyy) 

4.

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. 

Applicant's Daytime Telephone Number Applicant's Mobile Telephone Number (if any)

Applicant's Email Address (if any)

1.

3.

2.

Provide your daytime telephone number, mobile telephone number (if any), and email address (if any).

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.

My household income is less than or equal to 400% of the Federal Poverty Guidelines (see Instructions for required 

documentation). 

1.

3. My household size is: 

4. Total number of household members earning income including yourself: 

5.b. Name of head of household (if you selected “No” in Item Number 5.a.):

No (skip to Part 11.) 

Yes (complete Item Numbers 2. - 5.b.)

2. Total household income:

5.a. I am the head of household. Yes No
Form N-400 Edition 04/01/24 Page 12 of 14

Part 12. Interpreter's Contact Information, Certification, and Signature A2. Interpreter's Business or Organization Name 

1. Interpreter's Family Name (Last Name) Interpreter's Given Name (First Name)

Interpreter's Full Name

Interpreter's Contact Information 

3. Interpreter's Daytime Telephone Number

Interpreter's Email Address (if any)

4. Interpreter's Mobile Telephone Number (if any)

5.

Interpreter's Certification and Signature

I certify, under penalty of perjury, that I am fluent in English and 

and I have interpreted every question on the application and Instructions and interpreted the applicant's answers to the questions in that 

language, and the applicant informed me that they understood every instruction, question, and answer on the application.

6. Interpreter's Signature Date of Signature (mm/dd/yyyy)

,

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

Other Than the Applicant

Preparer's Full Name

1. Preparer's Family Name (Last Name) Preparer's Given Name (First Name)

2. Preparer's Business or Organization Name

Preparer's Contact Information

Preparer's Daytime Telephone Number Preparer's Mobile Telephone Number (if any)

Preparer's Email Address (if any)

3.

5.

4.

Preparer's Certification and Signature

I certify, under penalty of perjury, that I prepared this application for the applicant at their request and with express consent and that 

all of the responses and information contained in and submitted with the application are complete, true, and correct and reflects only 

information provided by the applicant. The applicant reviewed the responses and information and informed me that they understand 

the responses and information in or submitted with the application.

6. Preparer's Signature Date of Signature (mm/dd/yyyy)
Form N-400 Edition 04/01/24 Page 13 of 14

Part 14. Additional Information A4.

5. Page Number Part Number Item Number

Page Number Part Number Item Number

If you need extra space to provide any additional information within this application, use the space below. If you need more space 

than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. 

Type or print your name and A-Number at the top of each sheet; indicate the Page Number, Part Number, and Item Number to 

which your answer refers; and sign and date each sheet. 

2. Page Number Part Number Item Number

1. Family Name (Last Name) Given Name (First Name) Middle (if applicable)

3. Page Number Part Number Item Number

Do not complete Parts 15. or 16. until the USCIS officer instructs you to do so at the interview.
Form N-400 Edition 04/01/24 Page 14 of 14

Athat I take this obligation freely, without any mental reservation or purpose of evasion; so help me God.

that I will perform work of national importance under civilian direction when required by the law; and

that I will perform noncombatant service in the armed forces of the United States when required by the law;

that I will bear arms on behalf of the United States when required by the law;

that I will bear true faith and allegiance to the same; 

that I will support and defend the Constitution and laws of the United States of America against all enemies, foreign, and domestic;

I hereby declare on oath, that I absolutely and entirely renounce and abjure all allegiance and fidelity to any foreign prince, potentate, 

state, or sovereignty, of whom or which I have heretofore been a subject or citizen;

If your application is approved, you will be scheduled for a naturalization ceremony at which time you will be required to take the 

following Oath of Allegiance immediately prior to becoming a naturalized citizen. By signing below you acknowledge your 

willingness to take this Oath:

Part 16. Oath of Allegiance 

I swear (affirm) and certify under penalty of perjury under the laws of the United States of America that I know that the contents of 

this Form N-400, Application for Naturalization, subscribed by me, including corrections, are complete, true, and correct. The 

evidence submitted by me are complete, true, and correct.

Part 15. Signature at Interview 

Subscribed to and sworn to (affirmed) before me

USCIS Officer's Printed Name or Stamp Date of Signature (mm/dd/yyyy)

Applicant's Signature USCIS Officer's Signature

Applicant's Signature Date of Signature (mm/dd/yyyy)