Application for Replacement Naturalization/Citizenship Document

Purpose of Form :

To apply for a replacement Declaration of Intention, Naturalization Certificate, Certificate of Citizenship, or Repatriation Certificate, or to apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.

Number of Pages :

Form 2; Instructions 3.

Edition Date :

05/17/10. Previous editions accepted.

Where to File :

File with either the Nebraska or Texas Service Center, depending on the State where you live. See the form's instructions for specifics.

Filing Fee :

$380

Special Instructions :

This page can be found at http://www.uscis.gov/n-565

 

• Download N-565 (153KB PDF)
• Download Instructions for Completing Form N-565 (727KB PDF)