Character reference letter worksheet
A printable from Citizenship Reference Letter. Fill it in by hand. Nothing you write is collected by this website.
Character reference letter worksheet
About me (the writer)
- Full name: ______________________________
- Address: ______________________________
- Phone: ______________ Email: ______________
- I am a U.S. citizen. Proof I will attach (copy): passport photo page / birth certificate / naturalization certificate
- I am not related to the applicant
About the applicant
- Full name: ______________ Birth date: ______________ A number (if given): ______________
How I know them
- I know them as their: neighbor / employer / coworker / pastor / client / other: ________
- Since (month and year): ______________
Two or three true examples I have seen myself
- Honesty: ______________________________
- Community or church: ______________________________
- Work, family or school: ______________________________
My clear statement
- In my view, their moral character is: ______________________________
- What I have seen of their respect for the United States and the Constitution: ______________________________
Before I hand it over
- One page, dated, addressed to U.S. Citizenship and Immigration Services
- Signed by hand, with my printed name and contact details
- Copy of my citizenship proof attached
- In English, or with a full translation and the translator's signed note
- No Social Security number
Write the letter in your own words.
From Citizenship Reference Letter. Facts checked October 21, 2026. Free information, not legal or medical advice.