United States Citizenship Attestation Form

For the purpose of complying with Neb. Rev. Stat. 4-108 through 4-114, I attest as follows:



If applicable, include a copy of both the front and backside of your USCIS documentation.

Acceptable documentation include: I-327, I-551, I-571, I-766, Certificate of Citizenship, Naturlization Certificate, or I-94.

Accepted file formats: JPEG, GIF, TIFF, PNG, and PDF.

No documents attached to this application.