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

Department of Homeland Security _{OMB No. 1615-0054; Expires 04/30/2016}

U.S. Citizenship and Immigration Services N-445, Notice of Naturalization Oath Ceremony

For USCIS Sworn Statement ________

Use Only  Other _________________

[XXX]

A # _______________________

Date ______________________

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USCIS thanks you for your interest in becoming a United States citizen. You must now appear at a Naturalization Oath Ceremony to complete the naturalization process.

You are scheduled to appear for a Naturalization Oath Ceremony on:

Date:

Location:

Time:

Please bring the following with you:

• This notice with the reverse side completed. Please refer to instructions on reverse side.

• Your Permanent Resident Card (“green card”).

• All Reentry Permits or Refugee Travel Documents you may have, valid or expired.

• Any other documents USCIS issued to you.

The naturalization ceremony is a solemn and meaningful event. USCIS asks that you dress in proper attire to respect the dignity of this event.

If you cannot come to this ceremony, return this notice immediately with a written explanation on why you cannot attend. You will then receive an appointment for a ceremony at a later date.

If you require an accommodation such as a sign language interpreter, please contact the USCIS National Customer Service Center at 1-800-375-5283, at least 10 days prior to your scheduled ceremony.

Please answer the questionnaire on the reverse side of this form on the day of your scheduled ceremony. Print clearly in black ink. Please read the instructions before answering the questions, which concern events that may have occurred since your interview.

If you answer YES to any of the questions, bring documents to support your answer(s). For example, if you married or divorced after your interview, bring your marriage certificate or divorce decree. If you were arrested after your interview, bring your arrest records and court dispositions. If you were serving in the military and have been discharged, bring your DD214 or other discharge papers.

INSTRUCTIONS: You MUST bring this completed questionnaire with you to the Naturalization Oath Ceremony, along with the documents listed on the front side of this notice. You are required to give these items to an employee of USCIS at the oath ceremony.

Answer the following questions on the day of your Naturalization Oath Ceremony. Please note that these questions do not refer to any events that happened before your naturalization interview. These questions refer to the time period after your interview at the USCIS office. For example, if you were married at the time of your interview and there has been no change in your marital status since your interview, check NO to question number 1 below. If you traveled outside of the United States after your interview, check YES to question number 2 below.

After you have answered each question, print the date and the location (city and state) where you completed the questionnaire. Also, sign the questionnaire and print your current address.

1. Since your interview, have you married, or been widowed, separated or divorced? 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, become associated, or connected with any organization

in any way, including the Communist Party, a totalitarian organization, or terrorist group? 5. Yes No

6. Since your interview, have you deserted from, claimed exemption from or been separated or

discharged from military service? 6. 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;

or to perform work of national importance under civilian direction if the law requires it? 7. Yes No

8. Since your interview, have you practiced polygamy, received income from illegal gambling,

been involved in prostitution, helped anyone enter the United States illegally, trafficked controlled

substances, given false testimony to obtain immigration benefits, or been a habitual drunkard? 8. Yes No

I certify that each answer shown above was made by me or at my direction, and that each answer is true and correct as of the date of my Naturalization Oath Ceremony.

Signed at: ­­­­­ on:

(City and State) (Date)

(Full Signature) (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 Immigration Services Officers of U.S. Citizenship and Immigration Services (USCIS) 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 USCIS 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 Coordination Division, Office of Policy and Strategy, 20 _{Massachusetts Avenue, NW, Washington, DC 20529-2140; OMB No 1615-0054. Do not mail your completed Form N-445 to this address.}

Form N-445 (Rev. 09/03/14) Y