Form N 426 PDF Details

Every year, the United States Citizenship and Immigration Services (USCIS) releases a report on immigration in the United States. The report, called Form N 426, provides detailed information on the number of immigrants living in the country, their countries of origin, and their entry and departure dates. This year's report was released this week, and it offers some valuable insights into recent immigration trends. In particular, it shows that the number of immigrants entering the country illegally has decreased significantly in recent years.

QuestionAnswer
Form NameForm N 426
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesmilitary service number n 426, n 426 sample, n 426, what is military service number for n426

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OMB No. 1615-0053; Expires 09/30/10

Department of Homeland Security

U.S. Citizenship and Immigration Services

N-426, Request for Certification of Military or Naval Service

Alien Registration Number

Date of Request

NOTE TO CERTIFYING OFFICER: For use in connection with my application for naturalization, complete the certification of military service on Pages 2, 4, and 6 of this form and furnish it to the office of U.S. Citizenship and Immigration Services (USCIS) shown in the address block below. The information shown below is furnished to help locate and identify my military records. (Submit in triplicate, that is, all six pages of this form.)

NOTE TO APPLICANT: Furnish as much information as possible. If you were issued a Report of Separation, DD Form 214, attach a copy. Fill in the blanks only on Pages 1, 3, and 5 of this form. Please type or print clearly in black ink. All copies must be legible. Do not use pencil. (Submit in triplicate, that is, all six pages of this form.)

Name Used During Active Service (Last, First, Middle)

U.S. Social Security Number

Date of Birth

 

 

Place of Birth

For an effective records search, it is important that ALL periods of service be shown below. (Use blank sheet(s) if more space is needed.) Active Service:

Branch of Service (Show also last organization, if known.)

Date Entered

on Active Duty

Date Released

From Active Duty

Check Which

Service Number

Officer

Enlisted

During This Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reserve or National Guard Service: " If none, check

 

None

 

 

 

 

 

Branch of Service

Check Which

Reserve N. Guard

Date Membership

Began

Date Membership

Ended

Check Which

Service Number

Officer

Enlisted

During This Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you a Military Retiree or Fleet Reservist?

 

 

 

 

Yes

Signature (Present Name)

Present Address (Number, Street, City, State, and Zip Code)

Instructions to Certifying Officer

Persons who are serving or have served honorably under specified conditions in the Armed Forces of the United States, inclusive of the reserve components of the Armed Forces of the United States, are granted certain exemptions from the general requirements for naturalization. The law requires such service to be established by a duly authenticated copy of the records of the executive department having custody of the record of service, showing whether the service man or woman served honorably in an active-duty status, reserve-duty status, or both, and whether each separation from the service was under honorable conditions. For that purpose, the certified statement on Pages 2, 4, and 6 of this form, executed under the seal of your department, is required and should cover not only the period(s) of service shown above, but also any other periods of service (active, reserve, or both) rendered by the service man or woman.

U.S. Citizenship and Immigration Services

Return to:

 

Type or

 

print

 

complete

 

return

 

address.

 

Include zip

 

code.

 

 

 

Form N-426 (Rev. 10/16/08)Y

Applicant: Do not fill out this page

Certification of Military or Naval Service

Name correctly shown on front of form.

Name as shown in records:

Active Service

1.Entered Service at

(City and State)

2.On

3.Served to

4.Branch of Service

5.State whether serving honorably. If separated, state whether under honorable conditions. If other than honorable, give full details. Always complete item 11.

Reserve or National Guard Service

6.Branch of Service

7.Check Which

Reserve N. Guard

8.Began

9.Ended

10.State whether serving honorably. State if Selected Reserve or the Ready Reserve. If separated, state whether under honorable conditions. If other than honorable, give full details. Always complete Item 11.

11.Statement Regarding Alienage. (Complete this item in ALL cases.)

Record shows this person was not discharged on account of alienage.

Record shows this person was discharged on account of alienage. Details:

12.Remarks. Use for continuation of any of the above items. You should also show in the space below any derogatory information in your records relating to the person's character, loyalty to the United States, disciplinary actions, convictions, or other matters concerning his or her fitness for citizenship.

Lodge Act Enlistee

Complete this block if subject is a "Lodge Act Enlistee"-64 Stat. 316 (Army). Subsequent to enlistment under the Lodge Act on

subject entered

at the port of

(the United States, American Samoa, Swains Island, or the Panama Canal Zone)

pursuant to military orders on

 

via

 

 

 

I CERTIFY that the information here given concerning the service of the person named on the face of this form is correct according to the records

of the

(Name of department or organization)

[SEAL, if available ]

(No State-issued notary public

 

 

 

(Official Signature)

 

(Title)

 

 

 

 

 

 

seals accepted.)

 

 

 

 

 

 

Date

 

 

By

 

 

,

 

 

 

 

Telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

Form N-426 (Rev. 10/16/08)Y Page 2

OMB No. 1615-0053; Expires 09/30/10

Department of Homeland Security

U.S. Citizenship and Immigration Services

N-426, Request for Certification of Military or Naval Service

Alien Registration Number

Date of Request

NOTE TO CERTIFYING OFFICER: For use in connection with my application for naturalization, complete certification of military service on Pages 2, 4, and 6 of this form and furnish it to the office of U.S. Citizenship and Immigration Services (USCIS) shown in the address block below. The information shown below is furnished to help locate and identify my military records. (Submit in triplicate, that is, all six pages of this form.)

NOTE TO APPLICANT: Furnish as much information as possible. If you were issued a Report of Separation, DD Form 214, attach a copy. Fill in the blanks only on Pages 1, 3, and 5 of this form. Please type or print clearly in black ink. All copies must be legible. Do not use pencil. (Submit in triplicate, that is, all six pages of this form.)

Name Used During Active Service (Last, First, Middle)

U.S. Social Security Number Date of Birth

Place of Birth

For an effective records search, it is important that ALL periods of service be shown below. (Use blank sheet(s) if more space is needed.) Active Service:

Branch of Service

(Show also last organization, if known.)

Date Entered

on Active Duty

Date Released

From Active Duty

Check Which

Service Number

Officer

Enlisted

During This Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reserve or National Guard Service: " If none, check

 

None

 

 

 

 

 

Branch of Service

Check Which

Reserve N. Guard

Date Membership

Began

Date Membership

Ended

Check Which

Service Number

Officer

Enlisted

During This Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you a Military Retiree or Fleet Reservist?

 

No

 

Yes

 

 

 

 

 

 

 

 

 

 

 

Signature (Present Name)

Present Address (Number, Street, City, State, and Zip Code)

Instructions to Certifying Officer

Persons who are serving or have served honorably under specified conditions in the Armed Forces of the United States, inclusive of the reserve components of the Armed Forces of the United States, are granted certain exemptions from the general requirements for naturalization. The law requires such service to be established by a duly authenticated copy of the records of the executive department having custody of the record of service, showing whether the service man or woman served honorably in an active-duty status, reserve-duty status, or both, and whether each separation from the service was under honorable conditions. For that purpose, the certified statement on Pages 2, 4, and 6 of this form, executed under the seal of your department, is required and should cover not only the period(s) of service shown above, but also any other periods of service (active, reserve, or both) rendered by the service man or woman.

U.S. Citizenship and Immigration Services

Return to:

 

Type or

 

print

 

complete

 

return

 

address.

 

Include zip

 

code.

 

 

 

Form N-426 (Rev. 10/16/08)Y Page 3

Applicant: Do not fill out this page

Certification of Military or Naval Service

Name correctly shown on front of form.

Name as shown in records:

Active Service

1.Entered Service at

(City and State)

2.On

3.Served to

4.Branch of Service

5.State whether serving honorably. If separated, state whether under honorable conditions. If other than honorable, give full details. Always complete item 11.

Reserve or National Guard Service

6.Branch of Service

7.Check Which

Reserve N. Guard

8.Began

9.Ended

10.State whether serving honorably. State if Selected Reserve or the Ready Reserve. If separated, state whether under honorable conditions. If other than honorable, give full details. Always complete Item 11.

11.Statement Regarding Alienage. (Complete this item in ALL cases.)

Record shows this person was not discharged on account of alienage.

Record shows this person was discharged on account of alienage. Details:

12.Remarks. Use for continuation of any of the above items. You should also show in the space below any derogatory information in your records relating to the person's character, loyalty to the United States, disciplinary actions, convictions, or other matters concerning his or her fitness for citizenship.

Lodge Act Enlistee

Complete this block if subject is a "Lodge Act Enlistee"-64 Stat. 316 (Army). Subsequent to enlistment under the Lodge Act on

subject entered

at the port of

(the United States, American Samoa, Swains Island, or the Panama Canal Zone)

pursuant to military orders on

 

via

 

 

 

I CERTIFY that the information here given concerning the service of the person named on the face of this form is correct according to the records

of the

(Name of department or organization)

[SEAL, if available ]

(No State-issued notary public

 

 

 

(Official Signature)

 

(Title)

 

 

 

 

 

 

seals accepted.)

 

 

 

 

 

 

Date

 

 

By

 

 

,

 

 

 

 

Telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

Form N-426 (Rev. 10/16/08)Y Page 4

OMB No. 1615-0053; Expires 09/30/10

Department of Homeland Security

U.S. Citizenship and Immigration Services

N-426, Request for Certification of Military or Naval Service

Alien Registration Nu mber

Date of Request

NOTE TO CERTIFYING OFFICER: For use in connection with my application for naturalization, complete the certification of military service on Pages 2, 4, and 6 of this form and furnish it to the office of U.S. Citizenship and Immigration Services (USCIS) shown in the address block below. The information shown below is furnished to help locate and identify my military records. (Submit in triplicate, that is, all six pages of this form.)

NOTE TO APPLICANT: Furnish as much information as possible. If you were issued a Report of Separation, DD Form 214, attach a copy. Fill in the blanks only on Pages 1, 3, and 5 of this form. Please type or print clearly in black ink. All copies must be legible. Do not use pencil. (Submit in triplicate, that is, all six pages of this form.)

Name Used During Active Service (Last, First, Middle)

U.S. Social Security Number Date of Birth

Place of Birth

For an effective records search, it is important that ALL periods of service be shown below. (Use blank sheet(s) if more space is needed.) Active Service:

Branch of Service

(Show also last organization, if known.)

Date Entered

on Active Duty

Date Released

From Active Duty

Check Which

Service Number

Officer

Enlisted

During This Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reserve or National Guard Service: " If none, check

 

None

 

 

 

 

 

Branch of Service

Check Which

Reserve N. Guard

Date Membership

Began

Date Membership

Ended

Check Which

Service Number

Officer

Enlisted

During This Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you a Military Retiree or Fleet Reservist?

 

No

 

Yes

 

 

 

 

 

 

 

 

 

 

 

Signature (Present Name)

Present Address (Number, Street, City, State, and Zip Code)

Instructions to Certifying Officer

Persons who are serving or have served honorably under specified conditions in the Armed Forces of the United States, inclusive of the reserve components of the Armed Forces of the United States, are granted certain exemptions from the general requirements for naturalization. The law requires such service to be established by a duly authenticated copy of the records of the executive department having custody of the record of service, showing whether the service man or woman served honorably in an active-duty status, reserve-duty status, or both, and whether each separation from the service was under honorable conditions. For that purpose, the certified statement on Pages 2, 4, and 6 of this form, executed under the seal of your department, is required and should cover not only the period(s) of service shown above, but also any other periods of service (active, reserve, or both) rendered by the service man or woman.

U.S. Citizenship and Immigration Services

Return to:

 

Type or

 

print

 

complete

 

return

 

address.

 

Include zip

 

code.

 

 

 

Form N-426 (Rev. 10/16/08)Y Page 5

Applicant: Do not fill out this page

Certification of Military or Naval Service

Name correctly shown on front of form.

Name as shown in records:

Active Service

1.Entered Service at

(City and State)

2.On

3.Served to

4.Branch of Service

5.State whether serving honorably. If separated, state whether under honorable conditions. If other than honorable, give full details. Always complete item 11.

Reserve or National Guard Service

6.Branch of Service

7.Check Which

Reserve N. Guard

8.Began

9.Ended

10.State whether serving honorably. State if Selected Reserve or the Ready Reserve. If separated, state whether under honorable conditions. If other than honorable, give full details. Always complete Item 11.

11.Statement Regarding Alienage. (Complete this item in ALL cases.)

Record shows this person was not discharged on account of alienage.

Record shows this person was discharged on account of alienage. Details:

12.Remarks. Use for continuation of any of the above items. You should also show in the space below any derogatory information in your records relating to the person's character, loyalty to the United States, disciplinary actions, convictions, or other matters concerning his or her fitness for citizenship.

Lodge Act Enlistee

Complete this block if subject is a "Lodge Act Enlistee"-64 Stat. 316 (Army). Subsequent to enlistment under the Lodge Act on

subject entered

at the port of

(the United States, American Samoa, Swains Island, or the Panama Canal Zone)

pursuant to military orders on

 

via

 

 

 

I CERTIFY that the information here given concerning the service of the person named on the face of this form is correct according to the records

of the

(Name of department or organization)

[SEAL, if available ]

(No State-issued notary public

 

 

 

(Official Signature)

 

(Title)

 

 

 

 

 

 

seals accepted.)

 

 

 

 

 

 

Date

 

 

By

 

 

,

 

 

 

 

Telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

Form N-426 (Rev. 10/16/08)Y Page 6

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This form requires particular information to be filled out, therefore be sure to take your time to type in precisely what is asked:

1. Whenever filling out the n 426 military service number, be sure to include all of the needed blanks in their associated form section. This will help facilitate the work, allowing for your information to be processed fast and appropriately.

Stage # 1 of completing form n 426 example

2. Your next part is to submit the following blank fields: Reserve or National Guard Service, If none check, None, Branch of Service, Check Which, Date Membership, Date Membership, Check Which, Reserve N Guard, Began, Ended, Officer, Enlisted, Service Number, and During This Period.

Writing section 2 in form n 426 example

3. This 3rd segment is fairly easy, US Citizenship and Immigration, Return to, Type or print complete return, and Form N Rev Y - these empty fields must be filled out here.

Completing segment 3 in form n 426 example

4. This next section requires some additional information. Ensure you complete all the necessary fields - Certification of Military or Naval, Name correctly shown on front of, Name as shown in records, Entered Service at City and State, Served to, Branch of Service, State whether serving honorably, honorable give full details Always, Active Service, Branch of Service, Check Which, Began, Ended, State whether serving honorably, and Reserve N Guard - to proceed further in your process!

The best way to fill in form n 426 example portion 4

5. The last step to submit this document is integral. You must fill out the displayed blanks, particularly Statement Regarding Alienage, Record shows this person was not, Remarks Use for continuation of, Complete this block if subject is, Lodge Act Enlistee, subject entered, at the port of, the United States American Samoa, pursuant to military orders on, via, and I CERTIFY that the information, before finalizing. Neglecting to do so might contribute to an incomplete and possibly incorrect form!

Writing part 5 of form n 426 example

In terms of Lodge Act Enlistee and I CERTIFY that the information, be certain that you take a second look in this current part. Both these are considered the most significant fields in the page.

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