Request for a Hearing on a Decision in Naturalization Proceedings (Under Section 336 of the INA)File Online

• Legal Form Number: N-336
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form N-336 Edition 08/31/21 Page 1 of 7

Request for a Hearing on a Decision in Naturalization

Proceedings Under Section 336

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form N-336

OMB No. 1615-0050

Expires 08/31/2024

Date Stamp

Attorney State Bar Number

(if applicable)

Select this box if

Form G-28 is

attached.

Attorney or Accredited Representative

USCIS Online Account Number (if any)

To be completed by an

Attorney or Accredited

Representative (if any).

For USCIS Use Only

Remarks

Re-Affirm N-400 Denial Re-Determine N-400 Denial

START HERE - Type or print in black ink.►

►A-

Part 1. Information About You, the Naturalization Applicant

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

Current Legal Name (do not provide a nickname)1.

NOTE: Type or print "N/A" if an item is not applicable. Type or print "None" if the answer is none. Failure to answer all of the

questions may delay your Form N-336.

Date of Birth (mm/dd/yyyy) 4. USCIS Online Account Number (if any)

3.

5.

Barcode

Enter Your 9 Digit A-Number:

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

Other Names Used (if any)

Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete

this section, use the space provided in Part 8. Additional Information.

2.

►

Street Number and Name Apt. Flr. NumberSte.

State ZIP Code

Province or Region Country

Postal Code

City or Town County

Physical Address (do not provide a PO Box in this space unless it is your only address)