Form G-1041a - Genealogy Immigration Records Request Page 2
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1
2Part III. Identification of Requested Record(s)
File Number/File Information
Fee
Type of File(s)
Requested
Check one
or both fees
Certificate Number (up to 7 digits):
Date of Naturalization:
Naturalization
Certificate File
Day
$20M*
Month
Full Year
1906-1956
C
$35HC**
Court
City/County
State
Date of Issuance:
Number as Shown on Certificate:
Non-standard C-Files (B,
Day
Month
Full Year
D, OM, OS, A, AA, OL)
Alien Registration Record
Alien Registration Number (must be 7 digits):
$20 M*
(AR-2), 1940-1944
A- or AR-
A-File Number (must be 7 digits):
A-File numbered below
$35 HC**
8 million
A-
Visa Number (up to 7 digits):
Visa File
1924-1944
Visa #
$35 HC**
Ship (seaport arrivals
Date of Entry:
Port of Entry:
only):
Day
Month
Full Year
Registry File Number (up to 6 digits):
Registry File
$35 HC**
1929-1944
R
Total Fees Due/Attached:
NOTE:
$
If you are a researcher providing a C-file number below C-6500000
obtained from any source other than the USCIS Genealogy Program, you
may not know the format of the file (microfilm or hard copy). Therefore,
you will be unable to determine the fee. In this case, submit the $20 fee. If
the C-file is found in hard copy format, we will notify you to remit the
additional $15.
*The fee for a copy of a microfilm record (M) is $20 per request.
**The fee for a copy of a textual hard copy file (HC) file is $35 per request.
G-1041A (Rev. 04/30/09)Y Page 2
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