OMB No. 1615-0057; Expires 02/28/2017
Form N-600, Application for
Department of Homeland Security
Certificate of Citizenship
U. S. Citizenship and Immigration Services
Print or type all your answers fully and accurately in black ink. Write or type “N/A” if an item is not applicable. Write or type
“None” if the answer is none. Failure to answer all of the questions may delay processing your Form N-600.
Part 1. Information About Your Eligibility (Check only one box.
Your A-Number if any:
USCIS will reject your Form N-600 if you check more than one
-
-
A
box.)
Bar Code
Date Stamp
This application is being filed based on the fact that:
1.
I am a BIOLOGICAL child of a U.S. citizen parent(s).
2.
I am an ADOPTED child of a U.S. citizen parent(s).
3.
Other (explain fully):
Remarks
Part 2. Information About You (Provide information about yourself if
you are a person applying for the Certificate of Citizenship.
Provide information about your child if you are a U.S. citizen
parent applying for a Certificate of Citizenship for your minor
child.)
1. Current Legal Name (do not provide a nickname)
Family Name (last name)
Action
Given Name (first name)
Middle Name (if applicable)
2. Your name exactly as it appears on your Permanent Resident Card (if different
from above)
Family Name (last name)
Given Name (first name)
Middle Name (if applicable)
3. Other name(s) you have used since birth (if applicable. Include nicknames)
Family Name (last name)
Given Name (first name)
Middle Name (if applicable)
4.
Country of Birth
U.S. Social Security Number (if applicable)
5.
Date of Birth (mm/dd/yyyy)
6.
Form N-600 (Rev. 02/03/15) Y