Fillable Posthumous Citizenship Application (Visa Pro)

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Posthumous Citizenship Application (Visa Pro)

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The Posthumous Citizenship Application (Visa Pro) form is 4 pages long and contains:

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  • 62 check-boxes
  • 77 other fields

Country of origin: US
File type: PDF

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Department of Homeland Security
U.S. Citizenship and Immigration Services
N-644, Application for
Posthumous Citizenship
For USCIS Only
Fee Stamp
Part I. Information About the Applicant and Decedent (To be completed by the applicant only)
1. Name (Last/First/Middle)
2. Address (Street Name and Number)
(Town/City, State/Country, Zip/Postal Code)
3. If Abroad, City/Country of Nearest U.S. Embassy or Consulate
7. Telephone Number (Include Area/Country Code)
( )
6. Total Number of Authorization Affidavits Attached (See instructions)
8. Your Relationship to Decedent at Time of His/Her Death
(Check one)
Next-of-Kin
A.
Spouse
B. Parent
C. Son/Daughter
D. Brother/Sister
E. Executor or Administrator of Decedent's Estate
Representative
Guardian, Conservator, or Committee of Decedent's
Next-of-Kin
F.
VA Recognized Service Organization (Name below)
G.
(Name of Service Organization)
B. Information About the Decedent
1. Name Used During Active Service (Last/First/Middle)
2. Other Names Used
3. Date of Birth
(mm/dd/yyyy)
4. Place of Birth (City/State/Country)
5. Date of Death (mm/dd/yyyy)
6. Place of Death (City/State/Country)
4. Date of Birth 5. A-Number, if applicable
9. E-mail Address
7. Immigration Status at Time of Death (Permanent Resident, Student,
Visitor, etc.)
8. A-Number or Other USCIS File Number
9. U.S. Social Security Number (If any)
A. Information About the Applicant
Form N-644 08/05/15 N Page 1
16. Date Released From Active Duty Service (mm/dd/yyyy)
17. Branch of Service 18. Type of Discharge
19. Military Rank at Time of
Discharge
20. Retired From Military?
Yes
No
21. VA Claim Number (If any)
22. Total Number of Children (If none, write "None")
24. Total Number of Brothers and Sisters (If none, write "None")
13. Military Service Serial Number (If different from Social Security Number)
14. Date Entered Active Duty Service (mm/dd/yyyy)
15. Place Entered Active Duty Service (City/State/Country)
10. Father's Full Name
Living
Deceased
11. Mother's Maiden Name
Living
Deceased
12. Marital Status at Time of Death
a. Married
c. Widowed
b. Divorced d. Single
B. Information About the Decedent (Continued)
23. Complete the Following for Each Child
Name (Last/First/Middle)
Date of Birth
(mm/dd/yyyy)
LivingA. Deceased
25. Complete the Following for Each Brother and Sister
Name (Last/First/Middle)
DeceasedLivingC.
Date of Birth
(mm/dd/yyyy)
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
DeceasedLivingD.
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
DeceasedLivingE.
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
DeceasedLivingA.
DeceasedLivingB.
Name (Last/First/Middle)
DeceasedLivingC.
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
Date of Birth
(mm/dd/yyyy)
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
DeceasedLivingD.
DeceasedLivingB.
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
Form N-644 08/05/15 N Page 2
8. Certification
I certify the information given here concerning the
(Check one or
both, as appropriate)
Service Death
of the individual named on this form is correct according to the
records of the (name below).
(Department of Defense Military Branch)
No Active Duty Records Found for This Individual1.
No Casualty Records Found for This Individual2.
Name of Decedent Correctly Shown3.
Name of Decedent Different in Records4.
(List name shown in records)
5. Active Duty Service Records Found (Complete A through F)
Branch of Service
Date Entered Active Duty (mm/dd/yyyy)
Place Entered Active Duty Service (City/State/Country)
Service Number
Date Released From Service (mm/dd/yyyy)
Honorable Service During a Period of Hostilities (If no is
checked, please provide an explanation.)
Yes
No
6. Individual Entered Service Under the Lodge Act?
Yes
No Unable to Determine
7. Record of Death Found (Complete a and b)
a. Date of Death (mm/dd/yyyy)
b. Death resulted from injury or disease incurred in or
aggravated by active duty service during a period of
military hostilities specified by law?
Certificate of Applicant
I certify, under penalty of perjury under the laws of the United States
of America, that the information in Part I is true and correct.
Name (Print or Type)
Address (Street Number and Name, City/Town, State/Province,
Country, Zip-Postal Code
Title Phone Number
Signature
B. Information About the Decedent (Continued)
DeceasedLivingE.
Name (Last/First/Middle)
DeceasedLivingF.
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
Date of Birth
(mm/dd/yyyy)
Date of Birth
(mm/dd/yyyy)
Name (Last/First/Middle)
DeceasedLivingG.
Date
(mm/dd/yyyy)
A.
B.
C.
D.
E.
F.
Unable to DetermineNoYes
E-mail Address
Date
(mm/dd/yyyy)
Signature
Part II. To Be Completed by the Department of Defense Official for Appropriate Branch of Military
Service
Form N-644 08/05/15 N Page 3
Based on the information received from the Department
of Veterans Affairs concerning the death of the individual
named on this form, I certify that the individual died on
(Date (mm/dd/yyyy)) as a result of injury or
disease incurred in or aggravated by service during a period
of hostilities specified by law.
Part III. To Be Completed by the Department of Defense Official for Appropriate Branch of Military
Service
A. Certification
Based on the information received from the Department of
Veterans Affairs concerning the death of the individual
named on this form, I am unable to certify that the individual
died as a result of injury or disease incurred in or aggravated
by service during a period of hostilities specified by law.
B. Unable to Certify
NOTE: Space below (Part IV) for use by U.S. Citizenship and Immigration Services Only
Part IV. To be Completed by U.S. Citizenship and Immigration Services
Action Block
Initial Receipt Resubmitted
Relocated Completed
Rec'd
Sent App'd Denied Ret'd
Applicant Authorized Next-of-Kin or Representative
Positive Certification Military Service
Positive Certification Service Connected Death
Place of Enlistment Qualifies Under INA Section 329 (a)(1)
Decedent Admitted for Lawful Permanent Residence
Cert. #
A #
Date Mailed
Reg. Mail #
Title
Date (mm/dd/yyyy)
Signature
Title
Date (mm/dd/yyyy)
Signature
Form N-644 08/05/15 N Page 4
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Posthumous Citizenship Application (Visa Pro)

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Completed 18 July 2020

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