N-426 Form 30-day TOC

TABLE OF CHANGES – FORM

Form N-426, Request for Certification of Military or Naval Service

OMB Number: 1615-0053

08/08/2018

Reason for Revision: Bringing N-426 into alignment with several memos issued by DOD that amended procedures for military naturalization.

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Current Page Number and Section	Current Text	Proposed Text
Page 1	[Page 1] Persons who are serving or have served under specified conditions in the U.S. Armed Forces are granted certain exemptions from the general requirements for naturalization. To establish eligibility, the law requires the department with custody of the service record to certify whether the service member served honorably, and whether each separation from the service was under honorable conditions. USCIS requests certification of the service member's military service. Recruiters are not authorized to certify this request. Submit this request with Form N-400, Application for Naturalization. Instructions: Requestors must complete Parts 1. - 4. Certifying officials must complete Parts 5. - 8.	[Page 1] USCIS requests certification of the service member's military service. Persons who are serving or have served under specified conditions in the U.S. Armed Forces are granted certain exemptions from the general requirements for naturalization. To establish eligibility, the law requires the executive department under which such person served to certify whether the service member served honorably, and whether the service member’s separation from the service was under honorable conditions pursuant to Department of Defense (DoD) policy and guidelines. Recruiters are not authorized to certify this request. NOTE: Requestors must complete Parts 1. – 4. Certifying officials must complete Parts 5. - 8. All applicants must submit a completed Form N-426; however, only applicants currently serving are required to obtain certification of Form N-426. Submit this request with Form N-400, Application for Naturalization. USCIS may reject your application if this request is not completely and properly filled out. NOTE: ONLY military personnel (serving in pay grade O-6 or above) and equivalent civilian personnel (GS-15 or above) with proper authorization may certify this request.
Page 1, Part 1. Information About You	[Page 1] Part 1. Information About You 1. Alien Registration Number (A-Number) (if any) 2. Military Service Number 3. Names Used During Military Service List all names you have used, including your maiden name (if any). If you need extra space to complete this section, use the space provided in Part 9. Additional Information. Family Name (Last Name) [x2] Given Name (First Name) [x2] Middle Name [x2] 4. U.S. Social Security Number (if any) 5. USCIS ELIS Account Number (if any) 6. Date of Birth (mm/dd/yyyy) 7. Place of Birth (city and country) 8. Physical Address Street Number and Name Apt./Ste./Flr. Number City or Town County State ZIP Code + 4 Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only)	[Page 1] Part 1. Information About You 1. Alien Registration Number (A-Number) (if any) 2. Military Service Number 3. Full Legal Name Family Name (Last Name) Given Name (First Name) Middle Name 4. Other Names Used List all other names you have used, including your maiden name (if any). If you need extra space to complete this section, use the space provided in Part 9. Additional Information. Family Name (Last Name) [x2] Given Name (First Name) [x2] Middle Name [x2] 5. U.S. Social Security Number (if any) 6. USCIS Online Account Number (if any) 7. Date of Birth (mm/dd/yyyy) 8. Place of Birth City Country 9. Country of Citizenship 10. Country of Nationality 11. Physical Address Street Number and Name Apt./Ste./Flr. Number City or Town County State ZIP Code + 4 Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
Page 1, Part 2. Enlistment Information	[Page 1] Part 2. Enlistment Information 1. Where did you enlist? City State Country 2. Have you reenlisted? Yes No 3. Where did you reenlist? City State Country	[Page X] Part 2. Enlistment Information 1. Where did you enlist? Country City State Province (if applicable) 2. Where did you reside when you enlisted? Country City State Province (if applicable) 3. Have you reenlisted? Yes No 4. Where did you reenlist? Country City State Province (if applicable) 5. Where did you reside when you reenlisted? Country City State Province (if applicable)
Page 2, Part 3. Periods of Military Service	[Page 2] Part 3. Periods of Military Service (To be completed by requestor) Provide all periods of service. If you need extra space to complete this section, use the space provided in Part 9. Additional Information. [Table with 5 columns, 3 rows] Military Service Branch of Service Date Service Began (mm/dd/yyyy) Date Service Ended (mm/dd/yyyy) Type of Service (include all active, reserve, and National Guard Service) Active Duty Selected Reserve of the Ready Reserve* * Selected Reserve of the Ready Reserve Members: (1) participate in at least 48 scheduled drills or training periods during each year and serve on active duty for training at least 14 days a year or (2) participate in training at encampments, maneuvers, outdoor target practice, or other exercises at least 15 days each year. (10 U.S.C. 10143)	[Page X] Part 3. Periods of Military Service (To be completed by requestor) Provide all periods of service. If you need extra space to complete this section, use the space provided in Part 9. Additional Information. NOTE: If you have multiple periods of military service and are separated from service, you must provide copies of your most current DD Form 214 or NGB Form 22 that include the character of service upon separation from service for all periods of service. [Table with 5 columns, 3 rows] Military Service Branch of Service Service Start Date (mm/dd/yyyy) Service End Date (mm/dd/yyyy) Type of Service (include all active, reserve, and National Guard Service) Active Duty Selected Reserve of the Ready Reserve [Deleted]
Page 2, Part 4. Requestor's Contact Information, Certification, and Signature	[Page 2] Part 4. Requestor's Contact Information, Certification, and Signature Requestor's Contact Information 1. Requestor's Daytime Telephone Number 2. Requestor's Mobile Telephone Number (if any) 3. Requestor's Email Address (if any) Requestor's Certification I authorize release of information contained in this request, in supporting documents, and in my USCIS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws. I certify, under penalty of perjury, that all of the information in my request and any document submitted with it were provided by me and are complete, true, and correct. Requestor's Signature 4. Requestor's Signature Date of Signature (mm/dd/yyyy) NOTE TO ALL REQUESTORS: USCIS may deny your request if you do not completely fill out this request or fail to submit required documents listed in the Instructions.	[Page X] Part 4. Requestor's Contact Information, Certification, and Signature Requestor's Contact Information 1. Requestor's Daytime Telephone Number 2. Requestor's Mobile Telephone Number (if any) 3. Requestor's Email Address (if any) Requestor's Certification I authorize release of information contained in this request, in supporting documents, and in my USCIS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws. I certify, under penalty of perjury, that all of the information in my request and any document submitted with it were provided by me and are complete, true, and correct. Requestor's Signature 4. Requestor’s Signature 5. Date of Signature (mm/dd/yyyy) NOTE TO ALL REQUESTORS: USCIS may reject or deny your Form N-400 if you do not complete this Form N-426, or if you do not submit all required documents listed in the Instructions.
Page 2, Part 5. Character of Service	[Page 2] Part 5. Character of Service (To be completed by Certifying Official) State whether the requestor served honorably or is currently serving honorably for each period of military service the requestor served (refer to Part 3. Periods of Military Service). If you answer “No,” provide details in Part 7. Remarks. 1. Honorable Period of Military Service 1 Yes No 2. Honorable Period of Military Service 2 Yes No 3. Honorable Period of Military Service 3 Yes No	[Page X] Part 5. Character of Service (To be completed by certifying official) NOTE: For armed forces members currently serving, the certifying official MUST complete AND certify Form N-426 in Parts 5. - 8. Veterans who are no longer serving may leave Parts 5. - 8. blank, but MUST provide copies of their DD Form 214 or NGB Form 22 that include the character of service upon separation from service for all periods of service. For this character of service section, the certifying official must indicate whether the requestor served honorably or is currently serving honorably for each period of military service the requestor served (refer to Part 3. Periods of Military Service). For any “No” responses, provide details in Part 7. Remarks. 1. Honorable Period of Military Service 1 Yes No 2. Honorable Period of Military Service 2 Yes No N/A 3. Honorable Period of Military Service 3 Yes No N/A
Page 3, Part 8. Certification	[Page 3] Part 8. Certification (To be completed by Certifying Official) I am authorized to certify that the information given here concerning the service of the person named on this request is correct according to the records of the Name of Department Name and Title Daytime Telephone Number Email Address (if any) Official Signature Date (mm/dd/yyyy) Seal, if available (No state-issued notary public seals accepted.)	[Page X] Part 8. Certification (To be completed by certifying official) I, [Full Name], [Rank] and [Title], certify that I am duly authorized under the laws, regulations and policies of the Department of Defense to certify the requestor’s honorable service. I have personally reviewed the requestor’s service record. The information provided herein is a reflection of my findings. I certify that the information given here concerning the service of the person named on this request is correct according to the records of the [Fillable field]. Branch of Service Component Rank Title Full Name Work Telephone Number Military Email Address Official Signature (NOTE: An original ink signature or a copy of an original ink signature is acceptable. A digital signature is not acceptable.) Date (mm/dd/yyyy) [Deleted]

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