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N-565 Application for Replacement Naturalization/Citizenship Document Cover Letter Template
Briefly explain your reason for filing Form N-565 and list your supporting documents in a clear, simple cover letter.
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N-565 Application for Replacement Naturalization/Citizenship Document Cover Letter Template
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N-565 Application for Replacement Naturalization/Citizenship Document Cover Letter Template
[Your Full Name]
[A-Number (if any)]
[Street Address]
[City, State, ZIP Code]
Phone: [Phone Number]
Email: [Email Address]
[Date]
U.S. Citizenship and Immigration Services
[USCIS Lockbox or Service Center Name for N-565]
[Street Address]
[City, State, ZIP Code]
1. Subject and Applicant Information
Re: Form N-565, Application for Replacement Naturalization/Citizenship Document
Applicant: [Your Full Name], DOB: [MM/DD/YYYY], A-Number: [A-Number or “None”]
I, [Your Full Name], am submitting this cover letter in support of my Form N-565, Application for Replacement Naturalization/Citizenship Document.
2. Citizenship Document Background
Type of Original Document (select one):
Certificate of Naturalization
Certificate of Citizenship
Repatriation Certificate
Declaration of Intention
Other Citizenship Document: [Description]
Original Certificate Details (if known):
Certificate Number: [Certificate Number]
Date of Issuance: [MM/DD/YYYY]
Place of Issuance (City/State): [City, State]
3. Reason for Filing Form N-565
I am requesting a replacement or corrected document for the following reason(s):
[Select and complete as applicable:]
Lost Certificate
Approximate Date of Loss: [MM/DD/YYYY]
Place or Circumstances of Loss: [City, State / Description]
Stolen Certificate
Approximate Date of Theft: [MM/DD/YYYY]
Place or Circumstances of Theft: [City, State / Description]
Destroyed or Severely Damaged Certificate
Description of Damage or Destruction: [Description]
Never Received Original Certificate
Approximate Date of Approval of Naturalization/Citizenship: [MM/DD/YYYY]
Legal Name Change After Naturalization/Citizenship
New Legal Name: [New Full Name]
Effective Date of Name Change: [MM/DD/YYYY]
Correction of USCIS Error on Certificate
Incorrect Information on Certificate: [Description]
Correct Information: [Description]
Correction of Biographic Information (Not USCIS Error)
Information to Be Corrected: [Description]
Correct Information and Legal Basis: [Description]
4. Explanation of Circumstances
Explanation:
[Circumstances of loss, theft, damage, non-delivery, name change, or correction request.]
5. Forms and Supporting Documents Enclosed
The following items are enclosed with my Form N-565 filing:
Forms:
Form N-565, Application for Replacement Naturalization/Citizenship Document (completed and signed)
Form G-1145, E-Notification of Application/Petition Acceptance [if used]
Identity and Citizenship Documents:
Copy of original certificate (front and back), if available
Copy of biographical page of U.S. passport, if available
Copy of government-issued photo identification (such as driver’s license or state ID)
Reason-Specific Documents:
Police report or incident number relating to loss or theft of certificate, if available
Evidence of legal name change (marriage certificate, divorce decree, court order)
Civil records supporting correction of date of birth, name, or other biographic data (birth certificate, passport, or other documents)
Evidence that original certificate was never received, if available (USPS tracking, notices, or correspondence)
Additional Supporting Documents (if any):
[Description of any other relevant supporting documents]
6. Contact Information and Request
If additional information or documentation is needed, I can be contacted at:
Phone: [Phone Number]
Email: [Email Address]
I respectfully request that USCIS approve my Form N-565 and issue a replacement or corrected naturalization/citizenship document based on the information and evidence submitted.
7. Closing and Signature
Thank you for your time and consideration.
Sincerely,
[Your Signature, if printed]
[Your Full Name]
Date: [MM/DD/YYYY]
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N-565 Application for Replacement Naturalization/Citizenship Document Cover Letter Template
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For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
N-565 APPLICATION FOR REPLACEMENT NATURALIZATION/CITIZENSHIP DOCUMENT COVER LETTER TEMPLATE FAQ
What is Form N-565, Application for Replacement Naturalization/Citizenship Document?
Form N-565 is used by U.S. citizens to request a replacement for certain citizenship-related documents, such as a Certificate of Naturalization, Certificate of Citizenship, Repatriation Certificate, or Declaration of Intention, when the original has been lost, stolen, destroyed, damaged, or needs correction.
When do people usually file Form N-565?
People commonly file Form N-565 when their original certificate has been lost, stolen, or destroyed, when it is severely damaged, when there is an error in the biographic information, or when they have legally changed their name after naturalization or citizenship and want a new certificate that reflects the change.
What is an N-565 cover letter?
An N-565 cover letter is a short, organized letter that accompanies Form N-565. It identifies the applicant, describes the type of document being replaced, explains the reason for the replacement or correction, and lists the main supporting documents enclosed with the application.
Is a cover letter required for Form N-565?
No. USCIS does not require a cover letter with Form N-565. However, many applicants include one to make their package easier to understand and to clearly show why they are asking for a replacement certificate.
What should I include in my N-565 cover letter?
An N-565 cover letter usually includes your full name, A-number (if any), current contact information, details about the original certificate (type, number, issue date, place), your specific reason for filing (lost, stolen, damaged, name change, or correction), a brief explanation of what happened or what needs to be corrected, and a list of documents you are enclosing.
Can AI Lawyer help me prepare my N-565 cover letter?
Yes. AI Lawyer can help you adapt this N-565 cover letter template, refine your wording, and keep your information organized. You still provide the true facts and documents, and AI Lawyer does not replace a licensed attorney or offer legal advice or guarantees, but it can make preparing your N-565 cover letter faster and less stressful.
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