Request for Certification of Military or Naval Service

• Legal Form Number: N-426
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

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Request for Certification

of Military or Naval Service

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form N-426

OMB No. 1615-0053

Expires 03/31/2023

USCIS requests certification of the service member's military service. Persons who are serving or have served under specified

conditions in the U.S. Armed Forces are granted certain exemptions from the general requirements for naturalization. To establish

eligibility, the law requires the executive department under which such person served to certify whether the service member served

honorably, and whether the service member's separation from the service was under honorable conditions pursuant to Department of

Defense (DoD) policy and guidelines. Recruiters are not authorized to certify this request.

NOTE: Requestors must complete Parts 1. - 4. Certifying officials must complete Parts 5. - 8. All applicants must submit a

completed Form N-426; however, only applicants currently serving are required to obtain certification of Form N-426. Submit this

request with Form N-400, Application for Naturalization. USCIS may reject your application if this request is not completely and

properly filled out.

NOTE: ONLY military personnel (serving in pay grade O-6 or above) and equivalent civilian personnel (GS-15 or above) with

proper authorization may certify this request.

Part 1. Information About You

1. Alien Registration Number (A-Number) (if any)

► A-

Military Service Number2.

3. Full Legal Name

Family Name (Last Name) Given Name (First Name) Middle Name

4. Other Names Used

List all other names you have used, including your maiden name (if any). If you need extra space to complete this section, use the

space provided in Part 9. Additional Information.

Family Name (Last Name) Given Name (First Name) Middle Name

5. U.S. Social Security Number (if any) 6. USCIS Online Account Number (if any) 7. Date of Birth (mm/dd/yyyy)

► ►

8. Place of Birth

Country

City

9. Country of Citizenship 10. Country of Nationality

11. Physical Address

(USPS ZIP Code Lookup)

Street Number and Name NumberFlr.Ste.Apt.

City or Town County State ZIP Code + 4

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Province or Region (foreign address only) Country (foreign address only) Postal Code (foreign address only)

Form N-426 Edition 03/01/21 Page 1 of 5