• Form N-565 (82 KB PDF)
• Instructions for Form N-565 (41 KB PDF)

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

02/28/13. Previous editions accepted.

Where to File

File with either the USCIS Nebraska or Texas Service Center, depending on the State where you live. See the form’s instructions for specific filing information.

Filing Fee

$345