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U.S. Department of StateBUREAU OF CONSULAR AFFAIRSCERTIFICATE OF LOSS OF NATIONALITY OF THE UNITED STATES This form is prescribed by the Secretary of State pursuant to Section 501 of the Act of October.

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How to fill out the DoS DS-4083 online

The DoS DS-4083, also known as the Certificate of Loss of Nationality of the United States, is an important document for individuals who wish to formally declare the loss of their U.S. citizenship. This guide will provide you with a clear and step-by-step approach to accurately fill out the form online.

Follow the steps to complete your DoS DS-4083 online.

  1. Press the ‘Get Form’ button to access the form and open it in the editor.
  2. Enter the name of the embassy or consulate where you are submitting the form in the specified field.
  3. State the region in which the embassy or consulate is located.
  4. In the first blank, write your full name as the individual certifying the information.
  5. Indicate the full name of the person who is losing their nationality in the designated area.
  6. Specify the town or city where the individual was born.
  7. Provide the province or county of birth.
  8. Enter the state or country of birth along with the date formatted as mm-dd-yyyy.
  9. Detail the residency status of the individual in the United States, including any relevant dates.
  10. Indicate the person's current residence.
  11. Outline how the individual acquired U.S. nationality.
  12. State the nationality that the individual is acquiring, if applicable.
  13. Describe the action that led to the loss of nationality succinctly.
  14. Affirm that the act causing expatriation was voluntary and with intent to relinquish U.S. citizenship.
  15. Confirm that the individual thereby expatriated.
  16. Follow with the section number related to the expatriation.
  17. List the evidence supporting the expatriation action.
  18. Attach any relevant documents or copies that need to accompany the certificate before completion.
  19. Finally, sign and date the form in the appropriate spaces, ensuring to include your office title and affix the office seal, if applicable.

Complete your DoS DS-4083 online to ensure a smooth and efficient process.

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Once an individual obtains a green card, if he wishes to take the next step to become a U.S. citizen he must apply through a process called “naturalization” which may take up to five years.

If you already have a U.S. passport, you generally don't need to obtain a Certificate of Citizenship. However, some people prefer to have a certificate as a form of back-up documentation. The Certificate of Citizenship does not expire. Therefore, it may give some citizens more reassurance than a U.S. passport.

The Certificate of Loss of Nationality of the United States (CLN) is form DS-4083 of the Bureau of Consular Affairs of the United States Department of State which is completed by a consular official of the United States documenting relinquishment of United States nationality.

The Certificate of Citizenship is an optional form. A validly issued U.S. passport generally serves as evidence of your U.S. citizenship during its period of validity unless that passport has been revoked by the Department of State.

The Certificate of Naturalization contains information identifying the person and confirming his or her U.S. citizenship through naturalization.

All travelers must have a passport book for international air travel. Please note that hospital-issued birth certificates, voter registration cards, and affidavits cannot be used. If you were not born in the United States, you can use your original Naturalization Certificate or Certificate of Citizenship.

A CLN, or Certificate of Loss of Nationality, is an official document issued by the U.S. government to individuals who have renounced their U.S. citizenship. If you are a current U.S. citizen who is considering renouncing your citizenship, you must first complete a CLN application.

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