N-400 information worksheet

N-400 information worksheet

About me

• A number: ____________ Resident Since date: ____________
• Other names I have used: ______________________________
• I can file on or after (Resident Since + 5 years, minus 90 days): ____________

Addresses, last 5 years (newest first)

• ______________________ from ______ to ______
• ______________________ from ______ to ______
• ______________________ from ______ to ______

Jobs and schools, last 5 years (newest first, no gaps)

• ______________________ from ______ to ______
• ______________________ from ______ to ______

Trips outside the U.S., last 5 years

• Left ______ Back ______ Where ____________
• Left ______ Back ______ Where ____________
• Total days outside: ______ (must leave at least 30 months inside)

Family

• Every marriage, with dates and how it ended
• Every child, with birth date and where they live

Stop and get advice if I checked any of these

• Ever arrested, cited or charged, anywhere, even if dropped or expunged
• On probation or parole now
• Ever registered to vote, voted, or said I was a U.S. citizen
• Owe taxes, or did not file a return I had to file
• Man who lived in the U.S. at 18 to 25 and never registered with Selective Service
• Any trip of more than 6 months
• Ever in immigration court or ordered deported

Do not write your Social Security number on this sheet.

From Fill Out Form N-400. Facts checked October 21, 2026. Free information, not legal or medical advice.