For Internationally Adopted Children

Name:
Street Address:
City, State, Zip:
Telephone Number:

Date:

CERTIFIED MAIL RETURN RECEIPT REQUESTED

United StatesCitizenship & Immigration Service
(must be filed at your local office: see http://uscis.gov/graphics/fieldoffices/distsub_offices/index.htm)

Attention: Naturalization Unit

Re: Application of ___________________________ (Parent's Name)

for Certificate of Citizenship on Behalf of Adopted Child,

_____________________________________ (Child's New American Name)

(A-_________)(Alien Registration #), f/k/a _______________ (Child's Foreign Name)



Dear Madam or Sir:

Enclosed for processing, please find the following documents in support of my Application for Certificate of Citizenship on Behalf of Adopted Child:

(Please Check Enclosed Items)

¤ completed Form N-600 dated , executed by _______________________________ (Parent's Name), the mother (father) of ___________________________ (Child's New American Name) ;

¤ three (3) identical photographs of Child taken on ______________ (insert date - to be within 30 days of filing), with her/her name and alien registration number inscribed (in pencil) on reverse;

¤ copy of Child's Alien Registration Card, No. A-_________________ (insert number);

¤ photocopy, with certified translation, of Child's Birth Certificate;

¤ photocopy, with certified translation, of Child's Final Adoption Decree;

¤ photocopy of Readoption or Name Change Certificate (if applicable);

¤ photocopy of front page of U.S. Passport of Child's mother, ____________________________ (Mother's Name), a U.S. citizen;

¤ photocopy of front page of U.S. Passport of Child's father, _______________________ (Father's Name), a U.S. citizen;

¤ photocopy of front page of Child's passport issued by ___________ (name of foreign country) in the name of __________________ (Child's Foreign Name), Child's former name;

¤ photocopy of certified copy of Marriage Certificate of Child's Parents (if applicable);

¤ photocopy of certified copy of Divorce Decree of Child's Mother (Father) (if applicable);

¤ a check in the amount of $200 payable to the U.S. Immigration and Naturalization Service.

Copies of documents submitted are exact photocopies of unaltered original documents, and I understand I may be required to submit original documents to an Immigration or Consular official at a later date.

If you need additional information, please feel free to contact me. Your assistance in this matter is greatly appreciated.

Very truly yours,



__________________________________
Child's Mother (Father)

Enclosures