G-1041A – Genealogy Records Request (Fillable PDF)

The G-1041A is the official USCIS Genealogy Records Request form. It lets you obtain copies of historical immigration records for yourself or a relative. Instead of printing, scanning, and mailing a static PDF, you can fill the form directly on our site using the Formize PDF Filler – a secure, browser‑based editor that saves you time and eliminates formatting errors.

What Is the G-1041A Form?

G-1041A is used when you need full copies of an immigrant’s USCIS file, such as birth certificates, naturalization records, or travel documents. It is different from Form G-1041, which only requests an index search.

How to Complete the G-1041A with Formize

Follow the simple steps below to fill out the form online and download a completed PDF ready for mailing.

Common Mistakes & Tips for a Successful Submission

• Use the latest edition – the form edition date is 04/01/24. Our filler always loads the current version.
• Sign the form – the signature field is required; you can type your name and add a digital signature.
• Provide English translations for any foreign‑language documents.
• Do not send original documents unless specifically requested.

Where to Send Your Completed Request

After you download the filled PDF, mail it with the required fee to the USCIS Chicago Lockbox:

USCIS Attn: Genealogy Program
P.O. Box 805925
Chicago, IL 60680‑4188

For faster processing, you can also submit the request online through the USCIS Genealogy Program portal, but the fillable PDF remains the most reliable method for complex cases.

Need help? Review the official USCIS instructions or contact the USCIS Customer Service Center.