Purpose of Form:

This form is used by an applicant for naturalization to request that the Department of Defense verify the applicant's military or naval service.

Number of Pages: 7

Edition Date:

6/30/06. Prior versions acceptable.

Where to File:

Return the form to the office which requested the certification.

Filing Fee: $0.00

Special Instructions: 

Pages 1, 3 and 5 of the form are identical and are to be filled out by the applicant.
Pages 2, 4 and 6 are to be filled out by a certifying officer of the Department of Defense.

If relevant, please see (M-599), Naturalization Information for Military Personnel (or the text version).