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N-336fillable (ILW.COM)

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Fee:
Decision:
Grant
Denial
File Number:
A-
2. I am filing a request for hearing on the decision dated:
3. Please check the one block that applies:
days to submit a brief, statement and/or evidence
to the USCIS. (May be granted only for good cause shown. Explain in a separate letter.)
4. Person filing request:
Name (Type or print in black ink.)
Address (Street Number and Name)
(Apt. Number)
(City)
(Zip Code)
(State)
Date (mm/dd/yyyy)
Signature
(Person for whom you are appearing)
5. Briefly state the reason(s) for this request for a hearing:
I am not submitting a separate brief, statement or evidence.
I am submitting a separate brief, statement and/or evidence with this form.
I am an attorney or representative and I represent the applicant requesting a hearing on a
naturalization proceeding. [You must attach a Notice or Entry or Appearance (Form G-28)
if you are an attorney or representative and did not previously submit such a form.]
1. In the Matter of: (Name of Naturalization Applicant)
Department of Homeland Security
U.S. Citizenship and Immigration Services
N-336, Request for a Hearing on a
Decision in Naturalization Proceedings
(Under Section 336 of the INA)
a.
b.
c.
Form N-336 (Rev. 07/30/07)Y
For USCIS Only
OMB No. 1615-0050; Expires 09/30/08
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Completed 9 January 2021

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