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

N-445, Notice of Naturalization Oath Ceremony
Department of Homeland Security
U.S. Citizenship and Immigration Services
A-Number

Date

► A-

USCIS
Form N-445

OMB No. 1615-0054
Expires 04/30/2016

Sworn Statement
For
Other
USCIS
Use
Only FCO:

United States Citizenship and Immigration Services (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 and Time:
Location:

Please bring the following with you:
• This notice with the reverse side completed. Please refer to instructions on the 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 notice 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 answers. 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.

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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, select "NO" to Item Number 1 below. If you traveled outside the United States after your interview, select "YES" to
Item 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?

Yes

No

2.

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

Yes

No

3.

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

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?

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?

Yes

No

6.

Since your interview, have you deserted from, claimed exemption from, or been separated or
discharged from military service?

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?

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?

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

Signature
Full Address and ZIP Code
Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

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ZIP Code

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USCIS Privacy Act Statement
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.

Paperwork Reduction Act
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.

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