Form N-426 - Request For Certification Of Military Or Naval Service Page 3
Download a blank fillable Form N-426 - Request For Certification Of Military Or Naval Service in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form N-426 - Request For Certification Of Military Or Naval Service with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Part 6. Separation Information
1.
Is the requestor separated?
Yes
No
2.
If separated, select discharge type:
Honorable
Other (provide details in Part 7. Remarks)
3.
Was the requestor discharged on account of alienage?
Yes
No
If you answer “Yes,” provide details in Part 7. Remarks.
Part 7. Remarks
Provide any derogatory information in your records relating to the service member's character, loyalty to the United States,
disciplinary action, convictions, other than honorable discharges, or other matters concerning his or her fitness for citizenship. If you
need extra space to complete this section, use the space provided in Part 9. Additional Information.
Part 8. Certification (To be completed by Certifying Official)
I am authorized to certify that the information given here concerning the service of the person named on this request is correct
according to the records of the
Name of Department
Official Signature
Name and Title
Daytime Telephone Number
Email Address (if any)
Date (mm/dd/yyyy)
Seal, if available (No state-issued
notary public seals accepted.)
Page 3 of 4
Form N-426 07/25/17 N
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form N-426 Request For Certification Of Military Or Naval Service - Department Of Homeland Security
Legal
Form 05-359 - Request For Certificate Of Account Status To Terminate A Taxable Entity's Existence In Texas Or Registration - Tx Comptroller Of Public Accounts
Financial
Form 05-359 - Request For Certificate Of Account Status - Texas Comptroller Of Public Accounts
Financial
Related Categories
Parent category: Legal