Form N-336

Your current legal name — must match exactly as on your N-400 application.

All names you have used including maiden name, aliases. Leave blank if none.

Alien Registration Number from USCIS (9 digits). Found on your Green Card or N-400 receipt.

If you have a USCIS online account, enter the number. Otherwise leave blank.

Current street address where you live. Cannot be a P.O. Box.

If different from physical address. Can be P.O. Box.

Phone number where you can be reached during business hours.

Date your N-400 was denied (from denial letter). Must file N-336 within 30 days.

Name and address of the USCIS field office that sent the denial notice.

N-400 receipt number from original application (format: IOE0000000000 or similar).

Explain clearly why you believe the denial was incorrect. Reference specific grounds and evidence.

Select Hispanic/Latino or Not Hispanic/Latino. Voluntary statistical information.

Select one or more race categories. Voluntary statistical information.

Your physical characteristics for identification.

Current eye color for identification.

Current hair color for identification.

Indicate if you have ever served in any military. If yes, provide branch, dates, type of discharge.

If you need an interpreter for the hearing, provide their name and language here.

If someone other than you prepared this form, they must provide their name, address, and signature.

You must sign. Certifies all answers are true. Unsigned forms are rejected.

Date you signed the form (MM/DD/YYYY).