Form N-400 12/23/16 N Page 14 of 20
Have you EVER been convicted of a crime or offense?25.
Have you EVER been charged with committing, attempting to commit, or assisting in committing a crime
Have you EVER been arrested, cited, or detained by any law enforcement officer (including any
immigration official or any official of the U.S. armed forces) for any reason?
Have you EVER committed, assisted in committing, or attempted to commit, a crime or offense for which
you were NOT arrested?
If any of Item Numbers 22. - 28. apply to you, you must answer "Yes" even if your records have been sealed, expunged, or
otherwise cleared. You must disclose this information even if someone, including a judge, law enforcement officer, or attorney, told
you that it no longer constitutes a record or told you that you do not have to disclose the information.
Part 12. Additional Information About You (Person Applying for
If you answered "Yes," have you completed the probation or parole?
Have you EVER received a suspended sentence, been placed on probation, or been paroled? NoYes
NoYesHave you EVER been in jail or prison?
If you answered "Yes," how long were you in jail or prison? Years Months Days
If you answered "Yes" to any question in Item Numbers 23. - 28., then complete this table. If you need extra space, use
additional sheets of paper and provide any evidence to support your answers.
Why were you
Date arrested, cited,
Where were you
arrested, cited, detained, or
charged? (City or Town,
Outcome or disposition of the
arrest, citation, detention, or
charge (no charges filed, charges
dismissed, jail, probation, etc.)
NoYesHave you EVER been placed in an alternative sentencing or a rehabilitative program (for example,
diversion, deferred prosecution, withheld adjudication, deferred adjudication)?
If you answered "No" to ALL questions in Item Numbers 23. - 28., then skip this item and go to Item Number 30.
19. Did you EVER receive any type of military, paramilitary (a group of people who act like a military group
but are not part of the official military), or weapons training?
20. Did you EVER recruit (ask), enlist (sign up), conscript (require), or use any person under 15 years of age
to serve in or help an armed force or group?
21. Did you EVER use any person under 15 years of age to do anything that helped or supported people in