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Application for
Replacement Naturalization/Citizenship Document
Purpose of Form:
This form is
used 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:
4
Edition Date:
10/26/05. Prior versions
acceptable.
Where to File:
File this application with the
USCIS
local Office with jurisdiction over your place of residence.
Filing
Fee:
$380.00
Special
Instructions:
Note on Filing Fee:
Please consult the "Paying Fees"
section of your local office page to learn which forms of
payment are accepted. Acceptable forms of payment may vary by
office. Checks should be made payable to Department of
Homeland Security or U.S. Citizenship and
Immigration Services.
Download N-565 (797KB PDF)
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Our office does not make any representation or warranty as to legality, accuracy, correctness or acceptance of our office generated forms
by any State Department. Our office does not state or imply any guarantee should you decide to use a our office generated form.
We recommend that you use the form after consulting an attorney or any other expert knowledgeable in the laws of the applicable
jurisdiction and the specific intended use of those forms.
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