N-400 - Expedite Request And Authorization Worksheet Template
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2N-400 Expedite Request and Authorization Worksheet
The top part of this worksheet is to be completed only by DHS/USCIS after the applicant has completed the
bottom portion and the checklist. Once the applicant has completed the bottom portion, the top part of the
worksheet will be completed and signed by the local office DHS/USCIS official who is authorized to grant an
expedite request on a Application for Naturalization, Form N-400.
TO BE COMPLETED ONLY BY DHS/USCIS AFTER APPLICANT HAS COMPLETED THE
BOTTOM PORTION
To The Attention of:
_______________
CSC NSC TSC VSC
(Point of Contact)
(Specify Service Center)
Applicant was scheduled for fingerprinting at local ASC:
Yes (give ASC location and date of appointment): ____
_____
No
Waived/Prints Attached/Other:
_______
I, the undersigned, hereby authorize the expediting of the Application for Naturalization, Form N-400,
related to the applicant identified below.
Signature of Authorizing USCIS official: ____________________________________________________
Title of Authorizing Official and USCIS office:
_____________
Title
USCIS office
Date: ___________________________
RETURN APPL/FILE TO___________________________________________(POC at District)
TO BE COMPLETED BY THE APPLICANT
A
pplicant’s A#: ________________________________________________________________________
Applicant’s Name:
_____
_
Last
First
Middle
Applicant’s Address:
_______
____
_
A
pplicant’s phone number:
_______
Applicant’s E-mail Address: _____________________________________________________________
Dates applicant will arrive in and/or depart from the U.S. (Must be at least 4 months after
N-400 is filed):
____________________________________________
__
D
HS/USCIS office where applicant wishes to be interviewed: ____
__________
USCIS has special arrangements with the Arlington,Virginia and Honolulu, Hawai, District Offices,
however, you may indicate any USCIS office in the United States.
I hereby request expeditious naturalization
: _____________________________________________________
(Applicant’s Signature)
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RIT Revised 7/18/08
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