Adults who wish to claim U.S. Citizenship, please submit the following to the Consular Section (American Citizens Services) of the U.S. Embassy or Consulate nearest to your residence.

1. Citizenship Questionnaire - See below.
2. Complete Form DS-11. Do not sign.
3. Applicant's official Provincial Birth Record, showing complete information on the parents.
   

   Note: Some posts can only accept an original Registration of Live Birth - bearing the impression seal of the Vital Statistics office. This record is kept on file with Vital Statistics and a certified photocopy bearing the impression seal of the office can be issued.

   This document tells us whether there have been any amendments to the record. The child's certificate of birth is not always acceptable. Please refer to your "post specific" instructions when you receive your application forms, for acceptable birth record instructions.

4. Applicant's Identification such as a driver's license, student I.D. or Canadian passport.
5. Evidence of Applicant's Name Change (if applicable): Present your marriage certificates, divorce decrees, adoption papers, or court-ordered name changes. This is important for women whose last name has changed since birth because of marriage(s).
6. Evidence of Parent(s) U.S. Citizenship: U.S. passport, Certificate of Citizenship/Naturalization, Consular Report of Birth Abroad, or a U.S. birth certificate bearing the impression seal of the vital records office that issued it and including the date of filing. If you do not have a certified copy of your parents' birth record, write to the vital records office in the state, county, or municipality where your U.S. citizen parent or parents were born. Many records from the turn of the century are not readily available. If none of the vital records offices listed above have a record, keep the replies and try to obtain secondary evidence, such as a census record or a baptismal record showing date and place of birth. All correspondence from these places must be submitted with your application.

   Note: If you were born before May 24, 1934, you will have acquired your U.S. citizenship through either your mother or your father. You need only submit evidence of U.S. citizenship for one or the other, not both. If you were born after May 24, 1934, to two U.S. parents, submit evidence of U.S. citizenship for both of them.

7. Certified copy of the Parents' Marriage Certificate.
8. Documentary evidence of termination of any previous marriages of either parent (i.e. divorce decree, death certificate, etc.), if applicable.
9. Evidence of your parents residence/physical presence in the U.S.:
   • If you were born between Jan. 13, 1941 and prior to Dec. 24, 1952, to one U.S. citizen parent, you will need to present evidence of the periods during which your U.S. citizen parent resided in the U.S.
   • If you were born on or after Dec. 24, 1952, to one U.S. citizen parent, you will need to present evidence of the periods during which your U.S. citizen parent was physically present in the U.S.
   • If you have two foreign-born U.S. citizen parents, you must present evidence that at least one of them resided in the U.S. prior to your birth.
     

   Note: Physical presence is not the same as residence. For example, if a person was residing in the U.S., but left for vacations or schooling abroad, the person was not physically present in the U.S. during those periods of time.

   1. Submit your parent's Canadian Immigration Record showing original entry to Canada from the U.S. Other evidence may be required by the Consul, such as school records, military records, employment records, etc.
   2. If you were born after Jan. 13, 1941 and your U.S. citizen parent is still living, have that parent complete the Affidavit of Parentage and sign it before either a U.S. Consular Officer or a Notary Public.
   3. If your parent is deceased, submit the death certificate and other evidence, as above.
10. Photographs: Submit two recent, identical color passport photographs, two inches by two inches, as described on the back of form Form DS-11 Passport Application.
11. Fee: $100.00 U.S. funds in the form of cash or money order. PERSONAL CHECKS CANNOT BE ACCEPTED. We also accept all major credit cards. We do not have the facilities to pay by debit card.

All documents submitted must be original records, bearing the official seal of the issuing authority.

Use the Adobe Acrobat Version of this form for printing.

To fill out the form for print, use the Adobe Acrobat Version linked below.

Your Full Name Include maiden name and all other names used in the present or past Are you Adopted? Yes   No Sex   Male   Female Full Address Number   Street   City   Province   Postal Code Phone   Residence:     Business:  Occupation   I was born on   at  M/D/Y City   Province   Country Have you ever been issued a U.S. Passport?   Yes   No   If yes, please give details:         Passport Number   Date of Issuance   Place of Issuance Can you produce this document?   Yes   No Have you ever been issued any other evidence of U.S. Citizenship?     Yes     No   If yes, please give details:     Document Type and Number   Date of Issuance   Place of Issuance Can you produce this document?    Yes     No   I have lived in the following countries since my birth:   Country   State/Province   From (M-D-Y)   To (M-D-Y) Part 2 - Information about your biological parents    My biological parents were legally married to each other.   Date City   Province   Country  My biological parents were never legally married to each other. Applicant's Father Name Date of Birth:  Place of Birth:  My father now resides at  Was your father ever issued a U.S. passport?   Yes   No   If yes, please state the date of the last passport issued:   Issue date:  and attach a photocopy of the passport data page. If your father ever acquired a citizenship through naturalization, please indicate the date and which country. Country and Date:  He was physically present in the United States on these dates (M/D/Y):  until  until  until  until  until  until List all periods, no matter how short, covering the period of time from his birth until your birth. Attach a separate sheet if necessary.

Applicant's Mother Name Date of Birth:  Place of Birth:  My mother now resides at  Was your mother ever issued a U.S. passport?    Yes   No   If yes, please state the date of the last passport issued:   Issue date:  and attach a photocopy of the passport data page. If your mother ever acquired a citizenship through naturalization, please indicate the date and which country. Country and Date:  She was physically present in the United States on these dates (M/D/Y):

until		until
until		until
until		until
List all periods, no matter how short, covering the period of time from her birth until your birth. Attach a separate sheet if necessary.