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Sample Fee Waiver Form

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sample form

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Fee Waiver Form Begins Here

Naturalization Fee Waiver Request Name:
A#
Date

To USCIS: I am requesting a waiver for the N-400 application fee as provided by 8 CFR.7. I am unable to pay the fee because

I am submitting the following documents as evidence:

I declare under penalty of perjury that the foregoing is true and correct. Signature Date

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This page last updated on April 13, 2006.