Independent form guide. BrieflyGo is not affiliated with or endorsed by IRS, USCIS, SSA, DOL, or any U.S. government agency. Official forms are sourced from public government websites.

USCISRepresentation & Business (G Series)

Official form guide

Form G-1041A: Genealogy Records Request

U.S. Citizenship and Immigration Services Form G-1041A requests photocopies of USCIS historical records. Researchers who have a USCIS file number—or who received one from Form G-1041—must file it. AR‑2 microfilm copies are limited to aliens 14 years+ who entered Aug 1940–Mar 31 1944 or A‑File numbers below 8 million.

Need help with Form G-1041A?

Open it in the AI Editor for field guidance, checks, and PDF export.

Fillable formOpen in Editor->

Form Overview

USCIS Form G-1041A - Genealogy Records Request

U.S. Citizenship and Immigration Services Form G-1041A requests photocopies of USCIS historical records. Researchers who have a USCIS file number—or who received one from Form G-1041—must file it. AR‑2 microfilm copies are limited to aliens 14 years+ who entered Aug 1940–Mar 31 1944 or A‑File numbers below 8 million.

The form collects the requester’s name, Alien Registration Number (if any), and details of the historical record being requested. It requires you to label each answer with the page, part and item number and to sign and date each sheet (see Part 4 for additional information).

Risk Radar

Scan points
  • 1Submitting the form without a valid handwritten signature will cause USCIS to reject the request.
  • 2Including original documents instead of photocopies, which USCIS will not return.
  • 3Requesting naturalization records dated before September 27 1906, which must be obtained from NARA.
  • 4Requesting sea, land, or air manifest lists dated before December 1982, which USCIS does not handle.
  • 5Leaving the signature blank or using a stamped or typed name, leading to rejection of the request.

Plain English

Form G-1041A lets you ask USCIS for copies of its old immigration files. You need a USCIS file number to use it. USCIS will send you photocopies, not the original documents.

Submission Date

  • Filing date: Not stated in the official source.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

AI co-pilot

Fill it faster. Catch mistakes before you file.

Explains confusing fields in plain English
Flags missing signatures, dates, IDs, and attachments
Keeps the PDF ready for editor, send, and proof flows
Open AI workspace->

Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when you are a researcher requesting a copy of a USCIS historical record by file number or have received a file number from Form G-1041.
  • Do not use it when requesting naturalization records before September 27, 1906; manifest lists before December 1982; original documents; certified copies; deportation records; or certification of nonexistence of a naturalization record.
  • Check Form G-639 instead when seeking records of living immigrants, arrivals after 1945, or naturalizations after April 1, 1956.

Form selector

Use this form or another form?

Requesting records of living immigrants or post‑1945 arrivals

FOIA request needed for privacy‑protected records

Verify the immigrant is not deceased

Form G-639

Wanting original documents returned

Only original documents can be returned via this form

Confirm you are not requesting copies

Form G-884

Need to know filing fee amount

Fee schedule is listed on that form

Ensure correct fee selected

Form G-1055

Deadline or filing window

Not stated in the official source.

Checklist

What you need before filling it out

1

Identification of Requested Record (Part 3)

Documentary proof of death · Applicant's records or death certificate

Attaching original death certificate instead of copyHigh
2

Naturalization Certificate File (1906‑1956)

Copy of naturalization certificate showing certificate number, date, court, county, city · USCIS archives

Leaving fields blank or writing N/A incorrectlyMedium
3

Alien Registration Record (AR‑2) (1940‑1944)

Copy of AR‑2 showing A‑Number · Microfilm or USCIS archive

Providing A‑Number in wrong formatMedium
4

Fee selection

$80 payment (check, money order) · Fee schedule on Form G‑1055

Omitting fee attachmentHigh
5

Signature

Handwritten ink signature (or clear photocopy/scan) · Completed Form G‑1041A

Using typed name onlyHigh

Before you submit

  1. 1Print or type N/A for any question that does not apply.
  2. 2Indicate the page, part, and item number for each answer.
  3. 3Attach documentary proof of death if the immigrant's birth date is less than 100 years before the request.
  4. 4Do not attach original records; submit only legible photocopies.
  5. 5Select the appropriate fee box for hard copy or microfilm.
  6. 6Include a clear handwritten signature (or a clear scanned/faxed copy).
  7. 7Verify the $80 fee is attached.

How to file this form

  1. 1Gather the USCIS file number and any supporting documents.
  2. 2Complete all required fields on Form G-1041A, marking N/A where not applicable.
  3. 3Attach the $80 fee payment and any required death‑certificate copy.
  4. 4Sign and date the form with a handwritten ink signature.
  5. 5Submit the packet to the USCIS Records Operations Branch via the address listed on the USCIS website.

Known limitations

  1. 1Does not apply to naturalization records prior to September 27, 1906.
  2. 2Does not apply to sea, land, or air manifest lists prior to December 1982.
  3. 3Does not apply to the return of original documents.
  4. 4Does not apply to certified copies of USCIS historical records.
  5. 5Does not apply to deportation records.
  6. 6Does not apply to certification of nonexistence of a naturalization record.

Field map

Compact field-by-field guide

7 fields

Applicant Info

3 items

Full Legal Name

Your current legal name.

Requiredtext
Date of Birth

MM/DD/YYYY.

Requireddate
A-Number

Alien Registration Number if previously assigned.

text

Details

1 items

Basis for Application

The specific reason or legal basis for filing this form.

Requiredtext

Evidence

1 items

Supporting Documentation

List of documents supporting this application.

Requiredtext

Signatures

2 items

Applicant Signature

Sign under penalty of perjury.

Requiredsignature
Date of Signature

MM/DD/YYYY.

Requireddate
This compact map shows typical fields for this form type. The AI Editor gives precise field guidance after you open the PDF.

Almost done reviewing the fields?

Fillable formOpen in Editor->
Current form status
USCIS

Form G-1041A is the 04/01/24 edition; the instructions direct users to www.uscis.gov/G-1041A for the most current filing information.

What changed or needs a fresh check

  • Edition date — confirm the form shows 04/01/24 revision (Instructions p.1, Form p.2).
  • Fee — $80 for hard copy or microfilm as listed on the form (Form p.2).
  • Mailing address — Not stated in the official source — verify on the agency site.
  • Signature — Confirm a handwritten ink signature is included; photocopy, fax, or scan accepted (Instructions p.3).
  • Website for filing location — confirm you use www.uscis.gov/G-1041A for current filing address (Instructions p.4).

Quick Facts

Researchers who are requesting a copy of a USCIS historical record by file number, or who have received file numbers from a prior Form G-1041, must file Form G-1041A.
The form collects the requester’s name, Alien Registration Number (if any), and details of the historical record being requested. It requires you to label each answer with the page, part and item number and to sign and date each sheet (see Part 4 for additional information).
Not stated in the official source.
Send the completed Form G-1041A to the filing address listed on the USCIS website at www.uscis.gov/G-1041A, which provides the current filing location.
If the form is missing a valid handwritten signature or is otherwise incomplete, USCIS will reject the request.
First, type or print all answers in black ink, using legible block letters. Indicate the page, part, and item number for each response and attach any extra information in Part 4 or on a separate sheet. Provide your name and Alien Registration Number at the top of each page. Finally, sign and date every sheet; a stamped or typed name is not accepted.

Fill Form G-1041A

AI-powered guidance for every field

Fillable formOpen in Editor->

Free to start / No account required

After you file

  1. 1Keep a copy of the completed Form G‑1041A and all attachments for your records.
  2. 2Monitor mail or email for a USCIS acknowledgment receipt.
  3. 3Respond promptly if USCIS requests an original document during processing.
  4. 4If USCIS denies the request for a deficient signature, correct the signature and resubmit.

Sources

  • SRCInstructions p.1 — revision date is 04/01/24.
  • SRCInstructions p.1 — purpose is to obtain copies of USCIS historical records.
  • SRCInstructions p.1 — researchers with a USCIS file number or who received one from Form G-1041 should use this form.
  • SRCInstructions p.1 — do not use for records of naturalization prior to September 27, 1906.
  • SRCInstructions p.1 — do not use for sea, land, or air manifest lists prior to December 1982.
  • SRCInstructions p.1 — do not use for the return of original documents.
  • SRCInstructions p.1 — do not use for certified copies of USCIS historical records.
  • SRCInstructions p.1 — do not use for deportation records.
  • SRCInstructions p.2 — do not use for certification of nonexistence of a naturalization record.
  • SRCInstructions p.2 — use Form G-639 when seeking records of living immigrants, arrivals after 1945, or naturalizations after April 1, 1956.
  • SRCForm p.2 — fee is $80 for hard copy or microfilm.
  • SRCInstructions p.3 — photocopied, faxed, or scanned original handwritten signature is valid.

Common confusion points

Do I need to send the original death certificate?

Form says attach documentary proof but not original records.

Attach only a photocopy of the death certificate.

Can I request a certified copy?

Form only provides photocopies.

Request a photocopy; certified copies are not available.

Which fee amount should I pay?

Form lists $80 for hard copy or microfilm.

Verify $80 fee is attached.

Do I need to include my signature if I scan the form?

Photocopied, faxed, or scanned signature is accepted.

Ensure the scanned signature is clear and legible.

Where do I mail the form?

Source does not give a mailing address.

Check the USCIS website for the current filing address.

Can I request naturalization records before 1906?

Form not for those records; they are at NARA.

Use NARA resources instead.

Questions about USCIS Form G-1041A

What is USCIS Form G-1041A used for?

Form G-1041A lets you ask USCIS for copies of its old immigration files. You need a USCIS file number to use it. USCIS will send you photocopies, not the original documents.

Who must file USCIS Form G-1041A?

Researchers who are requesting a copy of a USCIS historical record by file number, or who have received file numbers from a prior Form G-1041, must file Form G-1041A.

What information does USCIS Form G-1041A require?

The form collects the requester’s name, Alien Registration Number (if any), and details of the historical record being requested. It requires you to label each answer with the page, part and item number and to sign and date each sheet (see Part 4 for additional information).

Where do I file USCIS Form G-1041A?

Send the completed Form G-1041A to the filing address listed on the USCIS website at www.uscis.gov/G-1041A, which provides the current filing location.

How do I complete USCIS Form G-1041A?

First, type or print all answers in black ink, using legible block letters. Indicate the page, part, and item number for each response and attach any extra information in Part 4 or on a separate sheet. Provide your name and Alien Registration Number at the top of each page. Finally, sign and date every sheet; a stamped or typed name is not accepted.

What happens if USCIS Form G-1041A is filed incorrectly?

If the form is missing a valid handwritten signature or is otherwise incomplete, USCIS will reject the request.

Do I need to send the original death certificate?

Form says attach documentary proof but not original records. Attach only a photocopy of the death certificate.

Can I request a certified copy?

Form only provides photocopies. Request a photocopy; certified copies are not available.

Ready to get started?

Upload the form or open it in the AI Editor for intelligent guidance

Fillable formOpen in Editor->

Source transparency

Copyright & Licensing - US Government Forms

Independent guide

BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Verify current license terms with the source agency before reuse outside this platform.

Understand the agreement before you sign it.

Review risky clauses in plain English, fix the document, and keep it moving toward signature.

Review a contract free →