Instructions For N-565, Application For Replacement Naturalization/citizenship Document
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3OMB No. 1615-0091; Expires 04/30/2010
Instructions for N-565, Application for
Department of Homeland Security
Replacement Naturalization/Citizenship Document
U.S. Citizenship and Immigration Services
Instructions
Please read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet(s) of paper. Write your name and Alien Registration Number (A #), if any, at the top of each sheet of paper and
indicate the section and number of the item to which the answer refers.
3. If you are applying for a special certificate of
What Is the Purpose of This Form?
naturalization, you must attach a copy of your
naturalization certificate.
This form is used to apply to U.S. Citizenship and
Immigration Services (USCIS) for a replacement:
Copies.
Unless specifically required that an original
document be filed with an application or petition, an ordinary
1. Declaration of Intention, or
legible photocopy may be submitted. Original documents
submitted when not required will remain a part of the record,
2. Naturalization Certificate, or
even if the submission was not required.
3. Certificate of Citizenship, or
Translations.
Any document containing foreign language
4. Repatriation Certificate, or to
submitted to the Service shall be accompanied by a full
5. Apply for a special certificate of naturalization as a U.S.
English language translation which the translator has certified
citizen to be recognized by a foreign country.
as complete and accurate, and by the translator's certification
that he or she is competent to translate from the foreign
language into English.
Who May File This N-565?
You may apply for a replacement:
Photographs.
1. If you have been issued a Naturalization Certificate,
You must submit two identical color photographs of
Certificate of Citizenship, Declaration of Intention or
yourself taken within 30 days of the filing of this
Repatriation Certificate which has been lost, mutilated,
application. The photos must have a white to off-white
or destroyed, or;
background, be printed on thin paper with a glossy finish,
2. If your name has been changed by marriage or by court
and be unmounted and unretouched.
order after the document was issued and you seek a
document in the new name.
Passport-style photos must be 2" x 2." The photos must be
3. If you are a naturalized citizen desiring to obtain
in color with full face, frontal view on a white to off-white
recognition as a citizen of the United States by a foreign
background. Head height should measure 1" to 1 3/8"
country, you may apply for a special certificate for that
from top of hair to bottom of chin, and eye height is
purpose.
between 1 1/8" to 1 3/8" from bottom of photo. Your head
must be bare unless you are wearing a headdress as
General Instructions.
required by a religious order of which you are a member.
Using pencil or felt pen, lightly print your name and Alien
Step 1. Fill Out the Form N-565.
Receipt Number on the back of the photo.
1. Type or print legibly in black ink.
Where to File?
2. If extra space is needed to complete any item, attach a
continuation sheet, indicate the item number, and date and
sign each sheet.
If you reside in AL, AR, CT, DE, DC, FL, GA, KY, LA,
3. Answer all questions fully and accurately. State that an
MS, ME, MD, MA, NH, NJ, NM, NY, NC, SC, OK, PA,
item is not applicable with "N/A." If the answer is none,
PR, RI, TN, TX, VA, VI, VT, WV
write "none."
Step 2. Initial Evidence Requirements.
submit your N-565 to the Texas Service Center at:
1. If you are applying for replacement of a mutilated
document, you must attach the mutilated document.
DHS/USCIS
2. If you are applying for a new document because your name
Texas Service Center
has been changed, you must submit the original USCIS (or
PO Box 851182
former INS) document and a copy of the marriage certificate
Mesquite, TX 75185-1182
or court order showing the name change.
Form N-565 Instructions (Rev. 07/30/07)Y
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