Part 1: Information about you (requestor)
The requestor's full name, mailing address, daytime and mobile telephone numbers and email address.
G-1041
Genealogy Index Search Request
Form G-1041, Genealogy Index Search Request, asks USCIS to search its historical indices for records about an immigrant. The USCIS page says that when it receives the request, it determines whether any USCIS records exist on the subject and, if they do, captures the file number and other identifiers of each record.
An index search does not send copies of the records themselves. The page and instructions say copies of USCIS historical records are requested with Form G-1041A, Genealogy Records Request.
The instructions say USCIS cannot search without at least the immigrant's name, year of birth and country of birth, and that other names, spellings and aliases are searched only when the requestor provides them.


The requestor's full name, mailing address, daytime and mobile telephone numbers and email address.
By signing in Item 6, the requestor consents to pay the costs incurred for search, duplication and review of documents up to the limit printed on the form.

The immigrant's full name, all other names used including aliases, maiden name and nicknames, date of birth marked actual or estimated, and place of birth.

The date of arrival in the United States or a date range from before 1906 to after 1940, where the immigrant lived and when, and other details such as spouse, children, date of death, military service or naturalization date.

Extra space for longer answers, with the page, part and item number each answer refers to.
Type or print legibly in black ink. The USCIS page says all pages have to be from the same form edition, with the edition date and page numbers visible at the bottom of each page.
The instructions say USCIS searches alternative names only if the requestor provides the names, spellings and aliases, so list them in Part 2.
Arrival dates and U.S. residences help USCIS identify one immigrant from others with the same name, birth year and country. The instructions give the example "in Pennsylvania until 1938, then lived in Madison, Wisconsin."
The form says that if the immigrant's date of birth is less than 100 years before the request, documentary proof of death is attached. Send a copy, since USCIS will not return original records.
Write N/A where a question does not apply and None for a zero. A stamped or typewritten name is not accepted as a signature. This page lets you fill the form online free, then print it for signature.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The USCIS page lists two options: online, through the USCIS Genealogy Program page, or by mail with payment to the Chicago Lockbox, Attn: Genealogy Program. Check the form page for the current address before mailing.
The fee is on the USCIS Fee Schedule page and in Form G-1055, which can change. Check it on the day you file.
The USCIS checklist lists an uncertified death certificate, printed obituaries, funeral programs or gravestone photographs, religious records, individual Social Security Death Index records, death benefit records, or other documents showing the immigrant is deceased.
Legible photocopies are accepted unless the instructions ask for an original. A document in a foreign language needs a full English translation with the translator's certification.
The USCIS page says unsigned forms are rejected and pages from a different edition may lead to rejection. The instructions say an incomplete request may be rejected or denied.
The instructions list researchers seeking records of their ancestors for genealogical or family history purposes.
The instructions also list historians or social scientists seeking historical records of persons they can identify by name, date of birth and place of birth.
The instructions say information related to living persons is not requested with this form and is requested through the Freedom of Information Act (FOIA) process instead.
The instructions list naturalization records before September 27, 1906, passenger manifests for arrivals before December 1982, certifications of nonexistence of a naturalization record, and deportation records.
The agency’s own page for Form G-1041.
The USCIS instructions for filling out and filing Form G-1041.
The official blank form, to print or fill by hand.
No tool matches that search.
Form G-1041 asks USCIS to search its historical indices and find file numbers. The page and instructions say copies of the historical records themselves are requested with Form G-1041A, Genealogy Records Request.
The instructions say USCIS cannot make any search without at least the immigrant's name, year of birth and country of birth.
No. The instructions say information about living persons is requested through the Freedom of Information Act process, not with this form.
The USCIS page lists online filing through the USCIS Genealogy Program page, as well as filing by mail to the Chicago Lockbox.
USCIS fees change, so this page does not list one. The G-1041 page points to the USCIS Fee Schedule, and the instructions point to Form G-1055.