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G-1041A, Genealogy Records Request

Purpose of Form

Use Form G-1041A to obtain copies of USCIS historical records. (To request an index search of USCIS historical records, use Form G-1041, Genealogy Index Search Request.)

Number of Pages

Form 2; Instructions 3.

Edition Date

12/17/12. Previous editions accepted.

Where to File

Mail your request to:

USCIS Genealogy Program
PO Box 805925
Chicago, IL 60680-4120

Filing Fee

The fee for a copy from microfilm is $20 per request. The fee for a copy of a hard copy file is $35 per request.

Special Instructions

Note on fees: You must submit the appropriate fee with this form for a genealogy records request. The fee for a copy from microfilm is $20 per request. The fee for a copy of a hard copy file is $35 per request. Send payment with your request form. Payment may be in the form of a cashier's check or money order. Personal checks will not be accepted, and they will be returned to you. If the form is submitted from outside the United States, remittance may be made with a bank international money order or foreign draft drawn in U.S. dollars and payable through a U.S. bank. Make all payments payable in U.S. currency to the Department of Homeland Security. Do not send cash with your form. If the file number provided does not match the immigrant named on this form, and there is no previous Genealogy Index Search case identification number provided, we will not refund any fee.

This page can be found at: http://www.uscis.gov/g-1041a

Last Reviewed/Updated: 02/08/2013