Your Family Information
Please complete the form below. This information is instrumental in determining if you qualify for Italian citizenship.
Instructions
Please provide all name variations or Also Known As (AKAs) the relative has been known by during their life, and most importantly, a woman’s maiden name. If you do not know the exact date of the event, please provide the year or a year range. If you do not know the exact location of the event, please provide locations of where they were living at the time or most of their life. Please include all marriages and divorces. If there are more than one, use the Notes section at the bottom of the form to include more information. 𝐈𝐟 𝐭𝐡𝐞 𝐚𝐧𝐜𝐞𝐬𝐭𝐨𝐫 𝐢𝐬 𝐬𝐭𝐢𝐥𝐥 𝐥𝐢𝐯𝐢𝐧𝐠, 𝐬𝐢𝐦𝐩𝐥𝐲 𝐭𝐲𝐩𝐞 “𝐍𝐀” 𝐢𝐧 𝐭𝐡𝐞 𝐃𝐚𝐭𝐞 𝐨𝐟 𝐃𝐞𝐚𝐭𝐡 𝐚𝐧𝐝 𝐋𝐨𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐃𝐞𝐚𝐭𝐡 𝐬𝐞𝐜𝐭𝐢𝐨𝐧𝐬.
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
City and State/Province where you Permanently Reside
*
How did you hear about us?
*
Google
TikTok
Facebook
YouTube
Instagram
Referral
Other
Italian Ancestor's First & Last Name
*
Italian Ancestor's Date of Birth
*
Italian Ancestor's Location of Birth
*
Town in Italy
Italian Ancestor's Parents' Names
Includ Maiden Name of Mother, if known
Did your Italian Ancestor Naturalize? If so, what year?
*
Did they become a US Citizen/Canadian Citizen
Italian Ancestor's Spouse's Name
*
Include Maiden Name, if applicable
Italian Ancestor Spouse's Date of Birth
*
Italian Ancestor Spouse's Location of Birth
*
Town in Italy
Italian Ancestor's Date of Marriage
*
Italian Ancestor's Location of Marriage
*
City & State if in US or Town if in Italy
Did your Italian Ancestor have a divorce
*
Please Select
Yes
No
If yes, please provide the Date and Location of Divorce
City, County, and State
Italian Ancestor's Date of Death
*
Italian Ancestor's Location of Death
*
City, County, State
Italian Ancestor's Relation to You
*
Please Select
Father
Mother
Grandfather
Grandmother
Great Grandfather
Great Grandmother
Great Great Grandfather
Great Great Grandmother
Great Grandparent's First & Last Name
*
Great Grandparent's Date of Birth
*
Great Grandparent's Location of Birth
*
City, County, and State
Great Grandparent's Relation to You
*
Please Select
Great Grandfather
Great Grandmother
Great Grandparent's Spouse's Name
*
Include Maiden Name, if applicable
Spouse's Date of Birth
*
Great Grandparent's Date of Marriage
*
Great Grandparent's Location of Marriage
*
City, County, and State
Did your Great Grandparents divorce?
*
Please Select
Yes
No
If yes, please provide the Date and Location of Divorce
City, County, and State
Great Grandparent's Date of Death
*
Great Grandparent's Location of Death
*
City, Cunty, and State
Grandparent's First & Last Name
*
Grandparent's Date of Birth
*
Grandparent's Location of Birth
*
City, County, and State
Grandparent's Relation to You
*
Please Select
Grandfather
Grandmother
Grandparent's Spouse's Name
*
Include Maiden Name, if applicable
Spouse's Date of Birth
*
Grandparents' Date of Marriage
*
Grandparents' Location of Marriage
*
City, County, and State
Did your Grandparents Divorce
*
Please Select
Yes
No
If yes, please provide the Date and Location of Divorce
City, County, and State
Grandparent's Date of Death
*
Grandparent's Location of Death
*
City, Cunty, and State
Your Parent's First & Last Name
*
Your Parent's Date of Birth
*
Your Parent's Location of Birth
*
City, County, and State
Parent's Relation to You
*
Please Select
Father
Mother
Parent's Spouse's Name
*
Include Maiden Name, if applicable
Spouse's Date of Birth
*
Parent's Date of Marriage
*
Parent's Location of Marriage
*
City, County, and State
Did your Parents Divorce
*
Please Select
Yes
No
If yes, please provide the Date and Location of Divorce
City, County, and State
Parent's Date of Death
*
Parent's Location of Death
*
City, Cunty, and State
Your Date of Birth
*
Your Location of Birth
*
City, County, and State
Relationship Status
*
Please Select
Married
Single
Divorced
Divorced, Remarried
Spouse's Name
*
Include Maiden Name, if applicable
Spouse's Date of Birth
*
Spouse's Location of Birth
*
City, County, and State
Date of Marriage
*
Location of Marriage
*
City, County, and State
If Divorced, Please Provide the Date of Divorce
*
City and State
If Divorced, Please Provide the Location of Divorce
*
City and State
Current Spouse's Name
*
Include Maiden Name, if applicable
Current Spouse's Date of Birth
*
Current Spouse's Location of Birth
*
City, County, and State
Date of Current Marriage
*
Location of Current Marriage
*
City, County, and State
Check all that apply
Minor child(ren) I wish to include.
Adult child(ren) I wish to include.
I have a sibling interested who lives in the same state as me.
I have a sibling interested who lives in a different state as me.
Any documents you wish to attach (optional)
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