دستورالعمل های فرم G-1041A، درخواست سوابق Geneallogy
فرم های مرتبط
- G-1041A, Genealogy Records Request - درخواست سوابق Genealogy
USCIS
Instructions for Genealogy Records Request
Form G-1041A
OMB No. 1615-0096
Expires 08/31/2025
Department of Homeland Security
U.S. Citizenship and Immigration Services
What Is the Purpose of Form G-1041A?
You should use Form G-1041A to obtain copies of U.S. Citizenship and Immigration Services (USCIS) historical records.
If you do not have a valid USCIS File Number to complete this request, submit an index search of USCIS historical
records using Form G-1041, Genealogy Index Search Request.
Who Should Use Form G-1041A?
You should use this request if you are a:
1. Researcher requesting a copy of a USCIS historical record by file number (see descriptions of USCIS historical
records in the How Are Historical Records and Files Identified section of these Instructions);
2. Researcher who has received file numbers resulting from the G-1041; or
3. Researcher seeking records for genealogical or family history purposes or heir location, and who can provide a precise
historical record series file number and can identify the immigrant by name and/or other information.
If the immigrant’s date of birth is less than 100 years before today’s date, you must attach documentary proof of death to
this request. Examples of acceptable documentary proof of death include:
1. Death certificate (uncertified copy);
2. Printed obituaries, funeral programs, or photographs of gravestones;
3. Bible, church, or other religious records;
4. U.S. Social Security Death Index records (individual records only, not lists);
5. Records relating to the payment of death benefits; and
6. Other documents demonstrating that the immigrant of the request is deceased.
Submit a copy of one of these items with this request. Do not include original records because USCIS will not return
such documents.
When Should Form G-1041A Not Be Used?
You should not use Form G-1041A to request:
1. Records of naturalization prior to September 27, 1906. Consult Federal court records stored at the National Archives
and Records Administration (NARA) Record Group 21, at www.archives.gov/research/guide-fed-records/
groups/021.html or contact the clerk of the court where the naturalization occurred;
2. Sea, land, or air manifest lists prior to December 1982. For these lists, contact NARA at www.archives.gov/research/
3. The return of original documents. For such documents, use Form G-884, Request for the Return of Original
Documents;
4. Certified Copies of USCIS Historical records. This office can only provide photocopies;
5. Deportation records; or
Form G-1041A Instructions 08/10/22
Page 1 of 5
6. Certification of Nonexistence of a Naturalization Record. All these requests must be submitted to the USCIS Records
Operations Branch at https://www.uscis.gov/history-and-genealogy/genealogy/requesting-help/genealogy-
NOTE: If you are seeking records of living immigrants, or immigrants who arrived after 1945, or who naturalized after
April 1, 1956, use Form G-639, Freedom of Information/Privacy Act Request.
How Are Historical Records and Files Identified?
Records and files are identified by file numbers.
To help identify historical USCIS file numbers, review the chart below that lists available series of USCIS historical files
and shows sample file numbers.
Requests for copies of USCIS historical records or files must identify the record by the file number or another file
identifier. USCIS cannot retrieve a record without a file number. If you do not have the file number, you should first
submit Form G-1041. For more information, visit the Requesting Records page at www.uscis.gov/genealogy.
If you are requesting a:
Then:
Examples:
Provide:
Naturalization Certificate File (C-File)
Records relating to all U.S. naturalization
certificates, replacement certificates, and Certificates
of Citizenship issued between September 27, 1906
and March 31, 1956. The majority of C-Files exist
only on microfilm.
C-1234567, Supreme
Ct., Kings Co., NY,
March 1922.
(1) The certificate number; and
(2) The name of court, location, and
date of naturalization.
Non-Standard C-Files
Repatriation - Certificates issued to persons who
regained U.S. citizenship between 1918 and 1956.
Provide:
B- _ _ _
The certificate number obtained from
the original certificate or from prior
Form G-1041.
D- _ _ _ _
Provide:
Military Naturalization - Certificates issued to
persons who served in the U.S. Armed Forces or
U.S. Coast Guard from 1942 to 1956.
OM- _ _ _ _ _
OS- _ _ _ _ _
The certificate number obtained from
prior Form G-1041, if applicable.
Derivative - Certificates issued to persons who
derived U.S. citizenship through the naturalization
of a parent while they were a minor, or through birth
abroad to U.S. citizen parents.
A- _ _ _ _ _ _
AA- _ _ _ _ _
DA- _ _ _ _ _
Provide:
The certificate number obtained from
prior Form G-1041, if applicable.
Provide:
Old Law - Replacement certificates issued to
persons who naturalized prior to September 27,
1906 (i.e., under the Old Law), and who applied for
a replacement certificate during or after 1929.
OL- _ _ _ _ _
The certificate number obtained from
prior Form G-1041, if applicable.
Provide:
The Alien Registration Number.
Alien Registration Form (AR-2).
Microfilmed copies of Form AR-2 completed by
all aliens 14 years of age and older residing in or
entering the United States between August 1940 and
March 31, 1944.
A-1234567,
A-0002345, A-001234
AR-1234567, A 1 234
567
or
AR-0002345
A-File numbered below 8 million.
Form G-1041A Instructions 08/10/22
Page 2 of 5
If you are requesting a:
Then:
Examples:
Visa File
Provide:
The visa number and arrival
Visa 2025432,
04/29/1933; (seaport)-
Boston, MA; SS
Brittanic.
Original arrival records of immigrants admitted for
permanent residence between July 1, 1924 and March information as obtained from prior
31, 1944. The Visa File number does not appear on Form G-1041.
a ship passenger list.
Visa 2046367,
12/17/1933; (land
port)-Detroit, MI.
Registry File
Provide:
R-12345, R-1234567,
R-123
March 2, 1929 to March 31, 1944. Original records
documenting the creation of immigrant arrival records
for persons who entered the United States prior to
July 1, 1924, and for whom no arrival record could be
found.
The Registry file number as obtained
from prior Form G-1041.
Do not provide
Certificate of
Registry number (for
example, CR-12345).
General Instructions
USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should
use the latest version of Adobe Reader, which you can download for free at www.get.adobe.com/reader/. If you do not
have Internet access, you may call the USCIS National Customer Service Center at 1-800-375-5283 and ask that we mail
a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
Signature. Each request must be properly signed and filed. For all signatures on this request, USCIS will not accept a
stamped or typewritten name in place of a signature. If you are under 14 years of age, your parent or legal guardian may
sign the request on your behalf. A legal guardian may also sign for a mentally incompetent person.
Filing Fee. Each request must be accompanied by the appropriate filing fee. (See the What Is the Filing Fee section of
these Instructions.)
Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the How Are
Historical Records and Files Identified section of these Instructions.
Copies. You may submit legible photocopies of documents requested, unless the Instructions specifically state that you
must submit an original document. USCIS may request an original document at the time of filing or at any time during
processing of an application, petition, or request. If you submit original documents when not required, the documents
may remain a part of the record, and USCIS will not automatically return them to you.
Translations. If you submit a document with information in a foreign language, you must also submit a full English
translation. The translator must sign a certification that the English language translation is complete and accurate, and that
he or she is competent to translate from the foreign language into English. The certification should also include the date,
the translator’s signature and printed name, and may contain the translator’s contact information.
How To Fill Out Form G-1041A
1. Type or print legibly in black ink.
2. If you need extra space to complete any item within this request, use the space provided in Part 4. Additional
Information or attach a separate sheet of paper.
Form G-1041A Instructions 08/10/22
Page 3 of 5
3. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been
married and the question asks “Provide the name of your current spouse”), type or print “N/A,” unless otherwise
directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many
children do you have” or “How many times have you departed the United States”), type or print “None,” unless
otherwise directed.
We recommend that you print or save a copy of your completed request to review in the future
and for your records.
What is the Filing Fee?
The filing fee for Form G-1041A varies depending on the number of files requested.
1. The fee for a copy from microfilm is $65 per request; and
2. The fee for a copy from hard copy file is $65 per request.
NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this request. If the file number provided
does not match the immigrant named on this request, and there is no previous Genealogy Index Search case identification
number provided, we will not refund any fee. DO NOT MAIL CASH. You must submit all fees in the exact amounts.
Use the following guidelines when you prepare your check or money order for the Form G-1041A filing fee:
1. The check or money order must be drawn on a bank or other financial institution located in the United States and must
be payable in U.S. currency; and
2. Make the check or money order payable to U.S. Department of Homeland Security.
NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”
Notice to Those Making Payment by Check. If you send us a check, USCIS will convert it into an electronic funds
transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your
account for the amount of the check. The debit from your account will usually take 24 hours and your bank will show it
on your regular account statement.
You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS
cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If your
check is returned as unpayable, USCIS will re-submit the payment to the financial institution one time. If the check is
returned as unpayable a second time, we will reject your request and charge you a returned check fee.
How To Check If the Fees Are Correct
Form G-1041A’s filing fee is current as of the edition date in the lower left corner of this page. However, because USCIS
fees change periodically, you can verify that the fees are correct by following one of the steps below.
2. Call the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or
hard of hearing) call: 1-800-767-1833.
Where To File?
Please see our website at www.uscis.gov/G-1041A or call our National Customer Service Center at 1-800-375-5283 for
the most current information about where to file this request. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
Form G-1041A Instructions 08/10/22
Page 4 of 5
Processing Information
Initial Processing. Once USCIS accepts your request, we will check it for completeness. If you do not completely fill
out this request, you will not establish a basis for your eligibility and USCIS may reject or deny your request.
Requests for More Information. We may request that you provide more information or evidence to support your
request. We may also request that you provide the originals of any copies you submit. USCIS will return any requested
originals when they are no longer needed.
DHS Privacy Notice
AUTHORITIES: The information requested on this historical records request, and the associated evidence, is collected
under 8 CFR §§ 103.38 through 103.41.
PURPOSE: The primary purpose for providing the requested information on this request form is to assist USCIS with
identifying and obtaining copies of the requested USCIS historical records.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and
any requested evidence, prevents USCIS from processing your request.
ROUTINE USES: DHS may share the information you provide on this form with other Federal, state, local, and foreign
government agencies and authorized organizations. DHS follows approved routine uses, as described in the associated
published system of records notice [DHS/USCIS/ICE/CBP-001 Alien File, Index, and National File Tracking System of
Records] and as described in the published privacy impact assessment [DHS/USCIS/PIA-017(a) Microfilm Digitization
Application System], which you can find at www.dhs.gov/privacy. DHS may also share the information, as appropriate,
for law enforcement purposes or in the interest of national security.
Paperwork Reduction Act
An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection
of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The
public reporting burden for this collection of information is estimated at 30 minutes per response, including the time for
reviewing instructions, gathering the required documentation and information, completing the request, attaching necessary
documentation, and submitting the request. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services,
Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital Gateway Drive, Mail Stop #2140, Camp
Springs, MD 20588-0009; OMB No. 1615-0096. Do not mail your completed Form G-1041A to this address.
Form G-1041A Instructions 08/10/22
Page 5 of 5