Form N-445 Form N-445 Notice of Naturalization Oath Ceremony

Department of Homeland Security
U.S. Citizenship and Immigration Services

OMB No . 1615-0054; Expires 02/28/2013

Form N-445, Notice of Naturalization Oath Ceremony
A#
Date

You are hereby notified to appear for a Naturalization Oath Ceremony on:

at:

Please report promptly at

.

You must bring the following with you:
1. This letter completely in its entirety. Print clearly or type your answers to all questions on page 2 using
CAPITAL letters in black ink.
2. Your Permanent Resident Card.
3. All Reentry Permits or Refugee Travel Document in your possession.
4. Any other Immigration documents you may have in your possession.
5. If the citizenship application was filed on behalf of a child, bring the child to the ceremony.
6. Other.

Proper attire should be worn. The naturalization ceremony is a solemn and meaningful event. Please dress in
proper attire to respect the dignity of this event (please, no jeans, shorts or flip flops).
If you cannot come to this ceremony, return this notice immediately and state why you cannot appear. In such case, you
will be sent another notice of ceremony at a later date. You must appear at an oath ceremony to complete the
naturalization process.
Form N-445 (Rev. 02/25/10) Y

In connection with your application for naturalization, please answer each of the questions by checking "Yes" or "No."
You must answer these questions the day you are to appear for your citizenship oath ceremony. These questions refer to actions since
the date you were first interviewed on your Application for Naturalization. The questions do not refer to anything that happened
before the interview.
After you have answered every question, sign your name and fill in the date and place of signing, and provide your current address.
You MUST bring this completed questionnaire with you to the oath ceremony, as well as the documents indicated on the front, and
give them to the employee of U.S. Citizenship and Immigration Services at the oath ceremony. You may be questioned further on
your answers at that time.

ANSWERS

1. Since your interview, have you married, or been widowed, separated or divorced? (If "Yes,"
please bring documented proof of marriage, death, separation or divorce.)

1.

Yes

No

2. Since your interview, have you traveled outside the United States?

2.

Yes

No

3. Since your interview, have you knowingly committed any crime or offense, for which you have
not been arrested?

3.

Yes

No

4. Since your interview, have you been arrested, cited, charged, indicted, convicted, fined or
imprisoned for breaking or violating any law or ordinance, including traffic violations?

4.

Yes

No

5. Since your interview, have you joined any organization, including the Communist Party, or
become associated or connected therewith in any way?

5.

Yes

No

6. Since your interview, have you claimed exemption from military service?

6.

Yes

No

7.

Yes

No

8.

Yes

No

7. Since your interview, has there been any change in your willingness to bear arms on behalf of the
United States; to perform non-combatant service in the armed forces of the United States; to
perform work of national importance under civilian direction, if the law requires it?
8. Since your interview, have you practiced polygamy, received income from illegal gambling,
been a prostitute, procured anyone for prostitution or been involved in any other unlawful
commercialized vice, encouraged or helped any alien to enter the United States illegally, illicitly
trafficked in drugs or marijuana, given any false testimony to obtain immigration benefits, or
been a habitual drunkard?

I certify that each of the answers shown above were made by me or at my direction, and that they are true and correct as of the date of
my naturalization oath ceremony.
Signed at

, on
(City and State)

(Full Signature)

(Date)
(Full Address and Zip Code)

OUR AUTHORITY for collection of the information requested on Form N-445 is contained in Sections 101(f), 313, 316, 332, 335 and 336 of the
Immigration and Nationality Act (8 U.S.C. 1101 (f), 1427, 1443, 1446 and 1447). Submission of the information is voluntary. The principal
purposes for requesting the information are to enable Adjudications Officers of U.S. Citizenship and Immigration Services to determine an
applicant's eligibility for naturalization. The information requested may, as a matter of routine use, be disclosed to naturalization courts and to other
federal, state, local or foreign law enforcement and regulatory agencies, the Department of Defense, including any component thereof, Selective
Service System, Department of State, Department of Treasury, Department of Transportation, Central Intelligence Agency, Interpol and individuals
and organizations in the processing of any application for naturalization, or during the course of investigation, to elicit further information required
by U.S. Citizenship and Immigration Services to carry out its functions. Information solicited which indicates a violation or potential violation of
law, whether civil, criminal or regulatory in nature, may be referred as a routine use to the appropriate agency, whether federal, state, local or foreign,
charged with the responsibility of investigating, enforcing or prosecuting such violations. Failure to provide all or any of the requested information
may result in a denial of the application for naturalization.
THE PUBLIC REPORTING BURDEN for this collection of information is estimated to average 10 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this
burden to: U.S. Citizenship and Immigration Services, Regulatory Products Division, Office of the Executive Secretariat, 20 Massachusetts Avenue,
N.W., Washington, DC 20529-2020; OMB No. 1615-0040.
Form N-445 (Rev. 02/25/10) Y Page 2