Instructions For Genealogy Index Search Request (Form G-1041) (Page 3 of 5) in pdf

Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the What

Information Is Required To Begin an Index Search section of these Instructions.

Copies. You may submit legible photocopies of documents requested, unless the Instructions specifically state that you

must submit an original document. USCIS may request an original document at the time of filing or at any time during

processing of an application, petition, or request. If you submit original documents when not required, the documents

may remain a part of the record, and USCIS will not automatically return them to you.

Translations. If you submit a document with information in a foreign language, you must also submit a full English

translation. The translator must sign a certification that the English language translation is complete and accurate, and that

he or she is competent to translate from the foreign language into English. The certification should also include the date,

the translator’s signature and printed name, and may contain the translator’s contact information.

How To Fill Out Form G-1041

1. Type or print legibly in black ink.

2. If you need extra space to complete any item within this request, use the space provided in Part 4. Additional

Information or attach a separate sheet of paper; type or print your name and Alien Registration Number (A-Number)

(if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer

refers; and sign and date each sheet.

3. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been

married and the question asks “Provide the name of your current spouse”), type or print “N/A,” unless otherwise

directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many

children do you have” or “How many times have you departed the United States”), type or print “None,” unless

otherwise directed.

We recommend that you print or save a copy of your completed request to review in the

future and for your records.

What Evidence Must You Submit?

You must submit all evidence requested in these Instructions with your request. If you fail to submit required evidence,

USCIS may reject or deny your request for failure to submit requested evidence or supporting documents in accordance

with 8 CFR 103.2(b)(1) and these Instructions.

What Is the Filing Fee?

The filing fee for Form G-1041 is $65.

NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this request. DO NOT MAIL CASH.

You must submit all fees in the exact amounts.

Use the following guidelines when you prepare your check or money order for the Form G-1041 filing fee:

1. The check or money order must be drawn on a bank or other financial institution located in the United States and must

be payable in U.S. currency; and

2. Make the check or money order payable to U.S. Department of Homeland Security.

NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”

Form G-1041 Instructions 12/23/16 N

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Instructions For Genealogy Index Search Request (Form G-1041) Page 3