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
► A-

USCIS
Form N-445
OMB No. 1615-0054
Expires 06/30/2019

Date

DRAFT
Not for
Production
10/30/2017
ELIS-83C

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:

Please bring the following with you:

Date and Time:

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

Location:

• 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.

DHS Privacy Notice

AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Immigration and Nationality Act (INA) sections 101(f),
313, 316, 332, 334, 335 and 336. PURPOSE: The primary purpose for providing the requested information on this form is to determine if you have maintained good
moral character and continued eligibility for naturalization from the date of your last interview until the naturalization ceremony. DHS uses the information you
provide to assess your continuing eligibility for the immigration benefit you are seeking. DISCLOSURE: The information you provide is voluntary. However, failure
to provide the requested information, including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of
your application for an immigration benefit. ROUTINE USES: DHS may share the information you provide on this form and any additional requested evidence with
other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published
system of records notices [DHS-USCIS-001 - Alien File, Index, and National File Tracking System and DHS-USCIS-007 - Benefits Information System] and the
published privacy impact assessments [DHS/USCIS/PIA-015 Computer Linked Application Information Management System 4 and DHS/USCIS/PIA-056 USCIS
Electronic Immigration System] which you can find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in
the interest of national security.

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.

Form N-445 10/31/16 N

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Name of Applicant

Sworn Statement

For
Other
USCIS
Use
Only FCO:

A-Number
► A-

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.

DRAFT
Not for
Production
10/30/2017
ELIS-83C

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

Signature

Date

Full Address and ZIP Code
Street Number and Name

Apt.

City or Town

State

Form N-445 10/31/16 N

Ste.

Flr. Number

ZIP Code

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