Part 2: Info About You
1. Your Current Legal Name (do not provide a nickname)
Looks good!
Please enter your last name.
Looks good!
Please enter your first name.
Looks good!
2. Other Names You Have Used Since Birth
Include aliases, maiden names, or other legal names.
Looks good!
Looks good!
Looks good!
Looks good!
Looks good!
Looks good!
Name Change (Optional)
Read the instructions before deciding whether you would like to legally change your name.
3. Would you like to legally change your name?
Please select Yes or No.
If you answered “Yes,” enter the new name you would like to use:
Please enter your new last name.
Please enter your new first name.
4. USCIS Online Account Number (if any)
Leave blank if you do not have one.5. Sex
Please select your sex.
Please enter your A-Number
Please enter a valid 9-digit A-Number.
6. Date of Birth
Please enter your valid date of birth.
In addition to your actual date of birth, include any other dates of birth you have ever used, including dates used in connection with any legal names or non-legal names, in the space provided:
Leave blank if not applicable.7. If you are a lawful permanent resident, provide the date you became a lawful permanent resident
Leave blank if not applicable.
Please enter a valid date.
8. Country of Birth
Country of birth is required.
9. Country of Citizenship or Nationality
Country of citizenship or nationality is required.
If you are a citizen or national of more than one country, list additional countries of nationality in the space provided:
Leave blank if not applicable.10. Was your mother or father (including adoptive mother or father) a U.S. citizen before your 18th birthday?
Please select Yes or No.
You may already be a U.S. citizen. If you are a U.S. citizen,
you should not complete Form N-400.
11. Do you have a physical or developmental disability or mental impairment that prevents you from demonstrating knowledge and understanding of the English language or civics requirements for naturalization?
Please select Yes or No.
If you answered “Yes,” submit a completed Form N-648,
Medical Certification for Disability Exceptions, when you
file your Form N-400.
Social Security Update
12.a. Do you want the Social Security Administration (SSA) to issue you an original or replacement Social Security card and update your immigration status with the SSA if and when you are naturalized?
Please select Yes or No.
12.b. Provide your Social Security number (SSN) (if any)
Leave blank if you do not have one.12.c. Consent for Disclosure
You must consent to receive a Social Security card.
NOTE: If you answered “Yes” to Item Number 12.a,
you must also answer “Yes” to Item Number 12.c to receive a card.