G-1041A, Genealogy Records Request
Use this form to obtain copies of USCIS historical records. (To request an index search of USCIS historical records, use Form G-1041, Genealogy Index Search Request.)
08/10/22. We will also accept the 09/17/19 and 12/23/16 editions. You can find the edition date at the bottom of the page on the form and instructions.
Dates are listed in mm/dd/yy format.
If you complete and print this form to mail it, make sure that the form edition date and page numbers are visible at the bottom of all pages and that all pages are from the same form edition. If any of the form’s pages are missing or are from a different form edition, we may reject your form.
If you need help downloading and printing forms, read our instructions.
You generally have two options for filing your Form G-1041A with USCIS:
• Online; or
• By mail (paper).
Please visit our USCIS Genealogy Program page for more information on how to file your genealogical request online and pay the associated fee.
Filing by Mail
Mail your completed form and payment to our Chicago Lockbox.
U.S. Postal Service (USPS), FedEx, UPS and DHL deliveries:
Attn: Genealogy Program
P.O. Box 805925
Chicago, IL 60680-4188
If you file your form by mail (paper), you may pay the fee with a money order, personal check, cashier’s check or pay by credit card using Form G-1450, Authorization for Credit Card Transactions. If you pay by check, you must make your check payable to the U.S. Department of Homeland Security.
When you send a payment, you agree to pay for a government service. Filing and biometric service fees are final and non-refundable, regardless of any action we take on your application, petition, or request, or if you withdraw your request. Use our Fee Calculator to help determine your fee.
Pay each filing fee separately. We are transitioning to electronically processing immigration benefit requests, which requires us to use multiple systems to process your package. Because of this, you must pay each filing fee separately for any form you submit. We may reject your entire package if you submit a single, combined payment for multiple forms.
If you are submitting this form from outside the United States, you may pay the fee with an international bank 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 U.S. Department of Homeland Security. 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.
Please do not submit this checklist with your Form G-1041A. It is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements. We recommend that you review these requirements before completing and submitting your form. Do not send original documents unless specifically requested in the form instructions or applicable regulations.
If you submit any documents (copies or original documents, if requested) in a foreign language, you must include a full English translation along with a certification from the translator verifying that the translation is complete and accurate, and that they are competent to translate from the foreign language to English.
Did you provide the following?
- Documentary proof of death if the person was less than 100 years old:
- Death certificate (uncertified copy);
- Printed obituaries, funeral programs, or photographs of gravestones;
- Bible, church, or other religious records;
- U.S. Social Security Death Index records (individual records only, not lists);
- Records relating to the payment of death benefits; or
- Other documents demonstrating the immigrant of the request is deceased.
Filing Tips: Go to our Tips for Filing Forms by Mail page for information on how to help ensure we will accept your application.
Don’t forget to sign your form. We will reject any unsigned form.