Naturalization Questionnaire

SECTION 01 · CLIENT INTAKE

Contact information

Only your first name, last name, and email address are required. Every other question is optional.

Your first name *

Your last name *

Your email address *

Your daytime phone number

Your mobile phone number

Preferred contact method or scheduling notes

SECTION 02 · CLIENT INTAKE

Part 1 · Naturalization eligibility

Choose the filing basis you believe applies. Our office will evaluate eligibility and any possible citizenship acquired through a parent.

Reason for filing Form N-400

A-Number (if any)

If other or uncertain, explain your potential eligibility

Was either parent (including adoptive parent) a US citizen before your 18th birthday?

Date you became a lawful permanent resident

Have you ever lost or abandoned permanent resident status?

Green card, citizenship through parent, and eligibility history

SECTION 03 · CLIENT INTAKE

Part 2 · Identity and personal details

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Current legal given name

Current legal middle name

Current legal family name

Full name in native alphabet, if different

USCIS online account number

Date of birth

Country of birth

City or town of birth

Country or countries of citizenship or nationality

Sex as listed in USCIS Form N-400

US Social Security number (optional; retain leading zeroes)

All other names used since birth

Entry 1

Given name

Middle name

Family name

Reason or period used

Any additional dates of birth ever used

Entry 1

Date

Circumstances used

Do you want to legally change your name with naturalization?

Do you have a disability or impairment that prevents demonstration of English or civics knowledge?

Do you want SSA to issue or replace your Social Security card and update your immigration status after naturalization?

SECTION 04 · CLIENT INTAKE

Requested legal name change

Complete if you answered Yes to the name-change question.

Requested new given name

Requested new middle name

Requested new family name

Additional name-change explanation

SECTION 05 · CLIENT INTAKE

Social Security card update

Optional questions for Social Security record updates.

Social Security number (if known; retain leading zeroes)

Do you authorize USCIS to disclose the required information to the SSA?

SECTION 06 · CLIENT INTAKE

Part 3 · Biographic information

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Ethnicity

Race: Asian

Race: White

Race: Black or African American

Race: American Indian or Alaska Native

Race: Native Hawaiian or Other Pacific Islander

Height in feet

Additional height inches

Weight in pounds

Eye color

Hair color

SECTION 07 · CLIENT INTAKE

Part 4 · Physical and mailing addresses

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Every residence during the applicable eligibility period

Entry 1

Street address

Apartment or unit

City

State or province

ZIP or postal code

Country

Date from

Date to / present

Is your mailing address the same as your current physical address?

Mailing address in-care-of name

Mailing street and unit

Mailing city or town

Mailing state or province

Mailing ZIP or postal code

Mailing country

Additional residence and mailing details, including safe mailing address if applicable

SECTION 08 · CLIENT INTAKE

Part 5 · Marital history

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Current marital status

Total number of marriages, including current and prior

Is your current spouse a member of the US armed forces?

All your prior marriages

Entry 1

Name of former spouse

Date of marriage

Place of marriage

Date ended

Divorce, death, annulment or other

Evidence available

Every prior marriage of your current spouse

Entry 1

Former spouse

Date of marriage

Date ended

How it ended

Evidence available

SECTION 09 · CLIENT INTAKE

Part 5 · Current spouse information

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Current spouse given name

Current spouse middle name

Current spouse family name

Spouse date of birth

Date of your marriage

Place of marriage

Spouse physical address, if different

Spouse current citizenship or nationality

Spouse A-Number (if any)

Spouse current employer, if relevant

Is your spouse currently a US citizen?

How did your spouse acquire US citizenship?

Date your spouse became a US citizen

How many times has your current spouse been married?

SECTION 10 · CLIENT INTAKE

Naturalization through marriage to a US citizen

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Have you continuously resided in marital union with your US citizen spouse during the applicable period?

Date US citizen spouse obtained citizenship

Time living together, temporary separations, deployments, divorce or death concerns and documentary evidence

SECTION 11 · CLIENT INTAKE

INA 319(b) · Qualifying US citizen overseas employment

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Qualifying US or other eligible employer

US citizen spouse foreign employment role

Preferred USCIS field office

Dates of overseas assignment

Do you intend to reside abroad with the US citizen spouse and then reside in the US when the overseas employment ends?

Employer and assignment documents available

SECTION 12 · CLIENT INTAKE

Part 6 · Children under 18

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Do you have any children under 18 (biological, adopted, or stepchildren)?

Total number of children under 18

All children under 18

Entry 1

Given name

Family name

Date of birth

Biological, stepchild, adopted

Lives with applicant?

Address if living elsewhere

Financially supported?

Other information

SECTION 13 · CLIENT INTAKE

Part 7 · Employment, schools and unemployment

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Every job, school attendance and period of unemployment or self-employment

Entry 1

Employer, school or status

City

State or province

Country

ZIP or postal code

From date

To date

Job title, occupation or field of study

Military, police, government or intelligence role if applicable

Any unexplained work, study or residence gaps

SECTION 14 · CLIENT INTAKE

Part 8 · Travel and residence outside the US

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Every trip outside the US lasting 24 hours or more

Entry 1

Date departed US

Date returned to US

Countries visited

Days outside the US

Reason for trip

Over six months? Additional evidence?

Any single absence of six months or longer?

Any absence of one year or longer?

Reasons for long trips; maintenance of residence, employment, family and ties to the US

SECTION 15 · CLIENT INTAKE

Part 9 · Citizenship, voting, taxes and associations

USCIS asks whether these activities have EVER occurred where indicated. Respond carefully even if you believe an event is old or resolved.

Have you EVER claimed to be a US citizen?

Have you EVER registered to vote or voted in a federal, state or local election in the US, except lawful local voting by noncitizens?

Do you currently owe overdue federal, state or local taxes?

Since becoming an LPR, have you claimed nonresident alien tax status or failed to file because you considered yourself a nonresident?

EVER been a member of or involved with the Communist or any totalitarian party?

EVER advocated overthrow by force, world communism, unconstitutional government destruction, sabotage, or associated with groups advocating those acts?

EVER participated in or supported any group that used weapons or explosives to harm people or property?

EVER participated in or supported a group involved in kidnapping, assassination, hijacking or sabotage?

EVER threatened, attempted, planned, advocated or encouraged acts of violent groups?

Details of every Yes response, group membership, dates and roles

SECTION 16 · CLIENT INTAKE

Part 9 · Human rights, armed groups and weapons

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

EVER ordered, incited, committed, assisted or participated in torture?

EVER participated in genocide?

EVER killed or tried to kill a person?

EVER intentionally and severely injured or tried to injure a person?

EVER participated in sexual contact without consent or where consent was impossible?

EVER prevented anyone from practicing religion?

EVER caused harm or suffering because of race, religion, nationality, particular social group or political opinion?

EVER served or participated in any military or police unit?

EVER served or participated in a paramilitary, self-defense, vigilante, rebel, militia, or guerrilla group?

EVER served at a prison, detention center, jail, or other detention facility?

EVER participated in a group that used or threatened weapons?

When supporting a group, did you use a weapon against anyone?

When supporting a group, did you threaten to use a weapon?

EVER provided, sold, transported, or helped sell weapons believed destined for use against a person?

EVER received weapons, paramilitary or military-type training?

EVER recruited, conscripted or used a child younger than 15 in an armed group?

EVER used a person under 15 to take part in hostilities?

Explain each Yes response, with country, unit, dates, rank, persons and events

SECTION 17 · CLIENT INTAKE

Part 9 · Crimes, arrests and court matters

Disclose incidents worldwide, even those involving sealed, expunged, dismissed, juvenile or diverted proceedings.

EVER committed, tried, aided, agreed or solicited a crime for which you were not arrested?

EVER arrested, cited, charged, detained or confined by any law enforcement, military or immigration officer?

If sentenced, paroled or placed on probation, have you completed every term?

EVER received alternative sentencing, deferred prosecution or rehabilitation?

EVER received pardon, amnesty or clemency?

Every crime, offense, arrest, citation, detention, charge or disposition

Entry 1

Offense or allegation

Date of conduct

Plea or conviction date

City, state, country

Charge and outcome (including no charges)

Sentence, probation, jail or diversion

Record or disposition documents

Complete circumstances

Additional details, records unavailable or pending matters

SECTION 18 · CLIENT INTAKE

Part 9 · Immigration, other conduct and family support

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

EVER involved in prostitution, procuring or related proceeds?

EVER produced, distributed, trafficked or smuggled controlled substances in violation of law?

EVER married to more than one person at the same time?

EVER married for an immigration benefit?

EVER helped a person enter or attempt to enter the US unlawfully?

EVER illegally gambled or received income from illegal gambling?

EVER failed to support dependents or pay required child support or alimony?

EVER misrepresented information to obtain US public benefits?

EVER submitted false, fraudulent or misleading information or documents to US officials?

EVER lied to US officials for admission or immigration benefits?

EVER placed in removal, rescission or deportation proceedings?

EVER removed or deported from the US?

Details, dates, proceedings and outcome for each Yes response

SECTION 19 · CLIENT INTAKE

Part 9 · Selective Service and US military history

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Were you born male and living in the US between your 18th and 26th birthdays, excluding periods in lawful nonimmigrant status?

If applicable, did you register with Selective Service?

Date of Selective Service registration

Selective Service number

EVER left the US to avoid being drafted into the armed forces?

EVER sought exemption from military service?

EVER served in the US armed forces?

Currently in the US armed forces?

If currently serving, are you deploying overseas within three months?

If currently serving, are you stationed outside the US?

If formerly served, do you now reside abroad?

EVER court-martialed or discharged other than honorably, bad conduct or dishonorably?

EVER discharged from US military service because you were an alien?

EVER deserted from US armed forces?

Military service dates, units, branches, discharge certificates, waivers and other details

SECTION 20 · CLIENT INTAKE

Part 1 · Military naturalization eligibility

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Which military naturalization provision is being considered?

Service start date

Service end date, if applicable

Military branch and unit

Was military service honorable?

N-426, DD-214 and other military eligibility documents available

SECTION 21 · CLIENT INTAKE

Part 9 · Oath of Allegiance and eligibility

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Do you currently have or have you ever had a hereditary title or order of nobility?

If yes, are you willing to give up the title or order at naturalization?

Do you support the US Constitution and form of government?

Do you understand the full Oath of Allegiance?

Are you unable to take the oath due to a physical or developmental disability or mental impairment?

Are you willing to take the full Oath of Allegiance?

If law requires, are you willing to bear arms for the US?

If law requires, are you willing to perform noncombatant military service?

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

Please explain any answer requiring explanation, including conscientious or religious objections

SECTION 22 · CLIENT INTAKE

Part 10 · Fee reduction and household information

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Is your household income at or below 400% of the federal poverty guidelines, and do you want to be evaluated for a reduced filing fee?

SECTION 23 · CLIENT INTAKE

Part 10 · Reduced fee information

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Total household income

Household size

Number of household members earning income

Are you the head of household?

Name of head of household if not you

Income and household evidence available

SECTION 24 · CLIENT INTAKE

Part 14 · Additional explanations and final review

All questions in this section are optional. Please provide accurate dates, names, and details wherever possible.

Additional information for particular N-400 questions

Entry 1

N-400 page

Part number

Question/item number

Full explanation

List available evidence, missing documents, and circumstances requiring attorney review

Anything else you want our office to know?

Contact information

Part 1 · Naturalization eligibility

Part 2 · Identity and personal details

Requested legal name change

Social Security card update

Part 3 · Biographic information

Part 4 · Physical and mailing addresses

Part 5 · Marital history

Part 5 · Current spouse information

Naturalization through marriage to a US citizen

INA 319(b) · Qualifying US citizen overseas employment

Part 6 · Children under 18

Part 7 · Employment, schools and unemployment

Part 8 · Travel and residence outside the US

Part 9 · Citizenship, voting, taxes and associations

Part 9 · Human rights, armed groups and weapons

Part 9 · Crimes, arrests and court matters

Part 9 · Immigration, other conduct and family support

Part 9 · Selective Service and US military history

Part 1 · Military naturalization eligibility

Part 9 · Oath of Allegiance and eligibility

Part 10 · Fee reduction and household information

Part 10 · Reduced fee information

Part 14 · Additional explanations and final review

Secure submission