Fillable Printable Form N-400
What is a Form N-400 ?
Form N-400, also known as US citizenship application form N-400. N-400 is used for obtaining us citizenship or naturalization. If you are applying for US citizenship, a completed form n-400 (US citizenship application) is the required form and it must be filed along with photos and supporting documents. Get this fillable Form N-400 at HandyPDF. Edit, sign, fax and print for your personal use.
Fillable Printable Form N-400
What is a Form N-400 ?
Form N-400, also known as US citizenship application form N-400. N-400 is used for obtaining us citizenship or naturalization. If you are applying for US citizenship, a completed form n-400 (US citizenship application) is the required form and it must be filed along with photos and supporting documents. Get this fillable Form N-400 at HandyPDF. Edit, sign, fax and print for your personal use.
Form N-400
Form N-400 12/23/16 N Page 1 of 20
For
USCIS
Use
Only
Other (Explain):
E.
Are applying on the basis of qualifying military service.
D.
C.
Have been a lawful permanent resident of the United States for at least 3 years. In addition, you have been married to
and living with the same U.S. citizen spouse for the last 3 years, and your spouse has been a U.S. citizen for the last
3 years at the time you filed your Form N-400.
B.
Have been a lawful permanent resident of the United States for at least 5 years.
A.
You are at least 18 years of age and:
Part 1. Information About Your Eligibility (Select only one box or your
Form N-400 may be delayed)
Enter Your 9 Digit A-Number:
Date Stamp
Remarks
Your Current Legal Name (do not provide a nickname)
Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)
1.
Part 2. Information About You (Person applying for naturalization)
Family Name (Last Name) Given Name (First Name)
Your Name Exactly As It Appears on Your Permanent Resident Card (if applicable)2.
Are a lawful permanent resident of the United States and you are the spouse of a U.S. citizen and your U.S. citizen
spouse is regularly engaged in specified employment abroad. (See the Immigration and Nationality Act (INA) section
319(b).) If your residential address is outside the United States and you are filing under Section 319(b), select the
USCIS Field Office from the list below where you would like to have your naturalization interview:
Middle Name (if applicable)
START HERE - Type or print in black ink. Type or print "N/A" if an item is not applicable or the answer is none, unless
otherwise indicated. Failure to answer all of the questions may delay U.S. Citizenship and Immigration Services (USCIS) processing
your Form N-400. NOTE: You must complete Parts 1. - 15.
►
A-
Action BlockReceipt
Application for Naturalization
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form N-400
OMB No. 1615-0052
Expires 03/31/2019
►
1.
If your biological or legal adoptive mother or father is a U.S. citizen by birth, or was naturalized before you reached your 18th
birthday, you may already be a U.S. citizen. Before you consider filing this application, please visit the USCIS Website at
www.uscis.gov for more information on this topic and to review the instructions for Form N-600, Application for Certificate of
Citizenship, and Form N-600K, Application for Citizenship and Issuance of Certificate Under Section 322.
NOTE: Are either of your parents a United States citizen? If you answer “Yes,” then complete Part 6. Information About Your
Parents as part of this application. If you answer “No,” then skip Part 6. and go to Part 7. Biographic Information.
Form N-400 12/23/16 N Page 2 of 20
Part 2. Information About You (Person applying for naturalization) (continued)
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
If you answered ''Yes," type or print the new name you would like to use in the spaces provided below.
NoYes
Would you like to legally change your name?
Read the Form N-400 Instructions before you decide whether or not you would like to legally change your name.
Name Change (Optional)4.
Date You Became a Lawful
Permanent Resident (mm/dd/yyyy)
9.8.
U.S. Social Security Number (if applicable)5.
Country of Citizenship or Nationality
11.
Country of Birth
10.
Date of Birth
(mm/dd/yyyy)
►
6. USCIS Online Account Number (if any)
Gender
Male Female
7.
Do you have a physical or developmental disability or mental impairment that prevents you from
demonstrating your knowledge and understanding of the English language and/or civics requirements
for naturalization?
No
Yes
12.
If you answered "Yes," submit a completed Form N-648, Medical Certification for Disability Exceptions, when you file your
Form N-400.
13. Exemptions from the English Language Test
A. Are you 50 years of age or older and have you lived in the United States as a lawful permanent
resident for periods totaling at least 20 years at the time you file your Form N-400?
NoYes
B. Are you 55 years of age or older and have you lived in the United States as a lawful permanent
resident for periods totaling at least 15 years at the time you file your Form N-400?
NoYes
C. Are you 65 years of age or older and have you lived in the United States as a lawful permanent
resident for periods totaling at least 20 years at the time you file your Form N-400? (If you meet
this requirement, you will also be given a simplified version of the civics test.)
NoYes
A-
Part 3. Accommodations for Individuals With Disabilities and/or Impairments
I am deaf or hard of hearing and request the following accommodation. (If you are requesting a sign-language
interpreter, indicate for which language (for example, American Sign Language).)
If you answered "Yes," select any applicable box.
NoYesAre you requesting an accommodation because of your disabilities and/or impairments? 1.
I am blind or have low vision and request the following accommodation:
A.
B.
NOTE: Read the information in the Form N-400 Instructions before completing this part.
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
Other Names You Have Used Since Birth (include nicknames, aliases, and maiden name, if applicable)3.
►
Form N-400 12/23/16 N Page 3 of 20
A-
Part 4. Information to Contact You
Part 5. Information About Your Residence
1.
Province or Region
(foreign address only)
City or Town
Street Number and Name
ZIP Code + 4StateCounty
To (mm/dd/yyyy)
NumberFlr.Ste.Apt.
Country
(foreign address only)
-
Where have you lived during the last five years? Provide your most recent residence and then list every location where you
have lived during the last five years. If you need extra space, use additional sheets of paper.
From (mm/dd/yyyy)
A. Current Physical Address
Postal Code
(foreign address only)
Daytime Telephone Number
1.
Work Telephone Number (if any)
2.
Evening Telephone Number
3.
Mobile Telephone Number (if any)
4.
Email Address (if any)5.
City or Town
State ZIP Code + 4
Street Number and Name
B.
In Care Of Name (if any)
NumberFlr.Ste.Apt.
Postal Code
(foreign address only)
Province or Region
(foreign address only)
-
Country
(foreign address only)
Current Mailing Address (if different from the address above)
Dates of
Residence
County
I have another type of disability and/or impairment (for example, use a wheelchair). (Describe the nature of your
disability and/or impairment and the accommodation you are requesting.)
C.
Part 3. Accommodations for Individuals With Disabilities and/or
Impairments (continued)
Form N-400 12/23/16 N Page 4 of 20
A-
Part 5. Information About Your Residence (continued)
Street Number and Name
From (mm/dd/yyyy) To (mm/dd/yyyy)
NumberFlr.Ste.Apt.
City or Town County State ZIP Code + 4
-
Postal Code
(foreign address only)
Province or Region
(foreign address only)
Physical Address 2C.
Country
(foreign address only)
Street Number and Name
From (mm/dd/yyyy) To (mm/dd/yyyy)
NumberFlr.Ste.Apt.
City or Town County State ZIP Code + 4
-
Postal Code
(foreign address only)
Province or Region
(foreign address only)
Physical Address 3D.
Country
(foreign address only)
Street Number and Name
Dates of
Residence
From (mm/dd/yyyy) To (mm/dd/yyyy)
NumberFlr.Ste.Apt.
City or Town County State ZIP Code + 4
-
Postal Code
(foreign address only)
Province or Region
(foreign address only)
Physical Address 4 E.
Country
(foreign address only)
Part 6. Information About Your Parents
2. Is your mother a U.S. citizen? NoYes
If you answered "Yes," complete the following information. If you answered "No," go to Item Number 3.
Information About Your Mother
NoYes
1. Were your parents married before your 18th birthday?
Dates of
Residence
Dates of
Residence
If neither one of your parents is a United States citizen, then skip this part and go to Part 7.
Form N-400 12/23/16 N Page 5 of 20
A-
B. Mother's Country of Birth Mother's Date of Birth (mm/dd/yyyy)C.
Date Mother Became a U.S. Citizen
(if known) (mm/dd/yyyy)
D. E. Mother's A-Number
(if any)
►
A-
Part 6. Information About Your Parents (continued)
NoYes
A.
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
B. Father's Country of Birth C.
Father's Date of Birth (mm/dd/yyyy)
3.
If you answered ''Yes," complete the information below. If you answered "No," go to Part 7.
Date Father Became a U.S. Citizen
(if known) (mm/dd/yyyy)
D. E. Father's A-Number
(if any)
►
A-
Information About Your Father
Is your father a U.S. citizen?
Current Legal Name of U.S. Citizen Father
American 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.)
Part 7. Biographic Information
Height Feet Inches
Race (Select all applicable boxes)2.
3.
Native Hawaiian or
Other Pacific Islander
Black or
African American
AsianWhite
Not Hispanic or LatinoHispanic or Latino
Ethnicity (Select only one box)
1.
4. Weight Pounds
5.
BrownBlue Green HazelGrayBlack PinkMaroon
Unknown/
Other
Eye color (Select only one box)
Bald
(No hair)
SandyRed WhiteGrayBlond BrownBlack
Hair color (Select only one box)
6.
Unknown/
Other
A. Current Legal Name of U.S. Citizen Mother
Middle Name (if applicable)
Given Name (First Name)Family Name (Last Name)
Form N-400 12/23/16 N Page 6 of 20
A-
List where you have worked or attended school full time or part time during the last five years. Provide information for the complete time
period. Include all military, police, and/or intelligence service. Begin by providing information about your most recent or current
employment, studies, or unemployment (if applicable). Provide the locations and dates where you worked, were self-employed, were
unemployed, or have studied for the last five years. If you worked for yourself, type or print "self-employed." If you were unemployed,
type or print "unemployed." If you need extra space, use additional sheets of paper.
City or Town State ZIP Code + 4
NumberFlr.Ste.Apt.Street Number and Name
-
Employer or School Name 1.
Your Occupation Date From (mm/dd/yyyy)
Date To (mm/dd/yyyy)
2. Employer or School Name
City or Town State ZIP Code + 4
Street Number and Name NumberFlr.
Ste.Apt.
-
Postal Code
(foreign address only)
Province or Region
(foreign address only)
Postal Code
(foreign address only)
Province or Region
(foreign address only)
Part 8. Information About Your Employment and Schools You Attended
Country
(foreign address only)
Your Occupation Date From (mm/dd/yyyy) Date To (mm/dd/yyyy)
Country
(foreign address only)
3. Employer or School Name
Street Number and Name NumberFlr.Ste.Apt.
ZIP Code + 4StateCity or Town
Your Occupation Date From (mm/dd/yyyy) Date To (mm/dd/yyyy)
-
Postal Code
(foreign address only)
Province or Region
(foreign address only)
Country
(foreign address only)
Form N-400 12/23/16 N Page 7 of 20
A-
List below all the trips of 24 hours or longer that you have taken outside the United States during the last 5 years. Start with
your most recent trip and work backwards. If you need extra space, use additional sheets of paper.
3.
NoYes
Yes No
NoYes
Yes No
NoYes
Date You Left the
United States
(mm/dd/yyyy)
Date You Returned
to the United States
(mm/dd/yyyy)
Did Trip Last
6 Months or
More?
Yes No
Countries to
Which You
Traveled
Total Days
Outside the
United States
How many trips of 24 hours or longer have you taken outside the United States during the last 5 years?
trips
2.
How many total days (24 hours or longer) did you spend outside the United States during the last 5 years?
days
1.
Part 9. Time Outside the United States
What is your current marital status?
How many times have you been married (including annulled marriages, marriages to other people, and
marriages to the same person)?
If you are married now, provide the following information about your current spouse.
Current Spouse's Legal Name
B.
A.
1.
3.
4.
Divorced
Single, Never Married
WidowedMarried Marriage Annulled
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
Separated
2. If you are married, is your spouse a current member of the U.S. armed forces?
Current Spouse's Previous Legal Name
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
Other Names Used by Current Spouse (include nicknames, aliases, and maiden name, if applicable)
Family Name (Last Name) Given Name (First Name) Middle Name (if applicable)
C.
NoYes
Part 10. Information About Your Marital History
D. Current Spouse's Date of Birth
(mm/dd/yyyy)
Date You Entered into Marriage
with Current Spouse (mm/dd/yyyy)
E.
If you are single and have never married, go to Part 11.
Form N-400 12/23/16 N Page 8 of 20
Part 10. Information About Your Marital History (continued)
A-
Street Number and Name
Province or Region
(foreign address only)
Postal Code
(foreign address only)
ZIP Code + 4StateCountyCity or Town
F. Current Spouse's Present Home Address
Current Spouse's Current Employer or CompanyG.
NumberFlr.Ste.Apt.
-
5. Is your current spouse a U.S. citizen?
No
Yes
If you answered ''Yes," answer Item Number 6. If you answered ''No," go to Item Number 7.
Country
(foreign address only)
Date Your Current Spouse Became
a U.S. Citizen (mm/dd/yyyy)
B.
7. If your current spouse is not a U.S. citizen, complete the following information.
A. Current Spouse's Country of Citizenship or Nationality B. Current Spouse's A-Number (if any)
Current Spouse's Immigration StatusC.
Other (Explain):Lawful Permanent Resident
When did your current spouse become a U.S. citizen?A.
If your current spouse is a U.S. citizen, complete the following information.
6.
At Birth Other - Complete the following information.- Go to Item Number 8.
►
A-
A.
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
How many times has your current spouse been married (including annulled marriages, marriages to
other people, and marriages to the same person)? If your current spouse has been married before,
provide the following information about your current spouse's prior spouse.
8.
Legal Name of My Current Spouse's Prior Spouse
B. Immigration Status of My Current Spouse's Prior Spouse (if known)
U.S. Citizen Lawful Permanent Resident Other (Explain):
C. Date of Birth of My Current Spouse's
Prior Spouse (mm/dd/yyyy)
Country of Birth of My Current Spouse's
Prior Spouse
D.
Country of Citizenship or Nationality of My Current
Spouse's Prior Spouse
E.
If your current spouse has had more than one previous marriage, provide that information on additional sheets of paper.
Form N-400 12/23/16 N Page 9 of 20
Part 10. Information About Your Marital History (continued)
A-
My Current Spouse's Date of Marriage
with Prior Spouse (mm/dd/yyyy)
F. Date My Current Spouse's Marriage Ended
with Prior Spouse (mm/dd/yyyy)
G.
H. How My Current Spouse's Marriage Ended with Prior Spouse
Annulled Divorced Spouse Deceased Other (Explain):
If you were married before, provide the following information about your prior spouse. If you have more than one previous
marriage, provide that information on additional sheets of paper.
9.
Other (Explain):Spouse DeceasedDivorcedAnnulled
A.
B. My Prior Spouse's Immigration Status When My Marriage Ended (if known)
U.S. Citizen Lawful Permanent Resident
Other (Explain):
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
C. My Prior Spouse's Date of Birth
(mm/dd/yyyy)
F.
G.
Date of Marriage with My Prior
Spouse (mm/dd/yyyy)
H.
Date Marriage Ended with My
Prior Spouse (mm/dd/yyyy)
How Marriage Ended with My Prior Spouse
My Prior Spouse's Country
of Birth
D.
My Prior Spouse's Country of
Citizenship or Nationality
E.
My Prior Spouse's Legal Name
Indicate your total number of 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 who are currently married or unmarried; children living with you or elsewhere; current
stepchildren; legally adopted children; and children born when you were not married.)
1.
Part 11. Information About Your Children
Provide the following information about all your children (sons and daughters) listed in Item Number 1., regardless of age.
To list any additional children, use additional sheets of paper.
2.
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
Child 1 A.
Current Legal Name
A-Number (if any)
►
A-
Date of Birth (mm/dd/yyyy) Country of Birth
Form N-400 12/23/16 N Page 10 of 20
Part 11. Information About Your Children (continued)
A-
Child 2 B.
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
A-Number (if any)
►
A-
Date of Birth (mm/dd/yyyy)
Current Address
Street Number and Name
Province or Region
(foreign address only)
Postal Code
(foreign address only)
ZIP Code + 4StateCountyCity or Town
What is your child's relationship to you? (for example, biological child,
stepchild, legally adopted child)
NumberFlr.Ste.
Apt.
-
Current Address
Street Number and Name
Province or Region
(foreign address only)
Postal Code
(foreign address only)
ZIP Code + 4StateCountyCity or Town
NumberFlr.Ste.
Apt.
What is your child's relationship to you? (for example, biological child,
stepchild, legally adopted child)
-
Country
(foreign address only)
Country
(foreign address only)
Current Legal Name
Current Legal Name
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
C.
Country of Birth
Child 3
Country of Birth
A-Number (if any)
►
A-
Date of Birth (mm/dd/yyyy)
Form N-400 12/23/16 N Page 11 of 20
Part 11. Information About Your Children (continued)
A-
Current Address
Street Number and Name
Province or Region
(foreign address only)
Postal Code
(foreign address only)
ZIP Code + 4StateCountyCity or Town
NumberFlr.Ste.
Apt.
What is your child's relationship to you? (for example, biological child,
stepchild, legally adopted child)
-
Current Legal Name
Middle Name (if applicable)Given Name (First Name)Family Name (Last Name)
A-Number (if any)
Country of Birth
►
A-
Current Address
Street Number and Name
Province or Region
(foreign address only)
Postal Code
(foreign address only)
ZIP Code + 4StateCountyCity or Town
NumberFlr.Ste.
Apt.
Date of Birth (mm/dd/yyyy)
What is your child's relationship to you? (for example, biological child,
stepchild, legally adopted child)
-
Country
(foreign address only)
Country
(foreign address only)
D. Child 4
Part 12. Additional Information About You (Person Applying for Naturalization)
NoYesHave you EVER registered to vote in any Federal, state, or local election in the United States?2.
NoYesHave you EVER claimed to be a U.S. citizen (in writing or any other way)?1.
Answer Item Numbers 1. - 21. If you answer "Yes" to any of these questions, include a typed or printed explanation on additional
sheets of paper.
Have you EVER voted in any Federal, state, or local election in the United States?3.
NoYes
4.
Yes NoDo you now have, or did you EVER have, a hereditary title or an order of nobility in any foreign
country?
If you answered "Yes," are you willing to give up any inherited titles or orders of nobility that you
have in a foreign country at your naturalization ceremony?
A.
B.
Yes No
Have you EVER been declared legally incompetent or been confined to a mental institution?5. NoYes
