Form N-644 - Application For Posthumous Citizenship - Uscis
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4N-644, Application for
Department of Homeland Security
Posthumous Citizenship
U.S. Citizenship and Immigration Services
For USCIS Only
Fee Stamp
Part I. Information About the Applicant and Decedent (To be completed by the applicant only)
A. Information About the Applicant
8. Your Relationship to Decedent at Time of His/Her Death
1. Name (Last/First/Middle)
(Check one)
Next-of-Kin
2. Address (Street Name and Number)
A.
Spouse
B.
Parent
C.
Son/Daughter
(Town/City, State/Country, Zip/Postal Code)
D.
Brother/Sister
Representative
3. If Abroad, City/Country of Nearest U.S. Embassy or Consulate
E.
Executor or Administrator of Decedent's Estate
F.
Guardian, Conservator, or Committee of Decedent's
Next-of-Kin
4. Date of Birth
5. A-Number, if applicable
G.
VA Recognized Service Organization (Name below)
(Name of Service Organization)
6. Total Number of Authorization Affidavits Attached
(See instructions)
9. E-mail Address
7. Telephone Number (Include Area/Country Code)
(
)
B. Information About the Decedent
7. Immigration Status at Time of Death (Permanent Resident, Student,
1. Name Used During Active Service (Last/First/Middle)
Visitor, etc.)
2. Other Names Used
8. A-Number or Other USCIS File Number
3. Date of Birth
4. Place of Birth (City/State/Country)
(mm/dd/yyyy)
9. U.S. Social Security Number (If any)
5. Date of Death
6. Place of Death (City/State/Country)
(mm/dd/yyyy)
Form N-644 08/05/15 N Page 1
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