FORM I-131 Application

FORM I-131 Application
Application Type
Full Name

First NameMiddle NameLast Name
Other Names Used
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Physical Address (if different)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
A-Number
USCIS Online Account Number
U.S. Social Security Number
Date of Birth

MonthDayYear
Date
Sex
Country of Birth
Country of Citizenship
Class of Admission
I-94 Number
I-94 Expiration Date

MonthDayYear
Date
USPID (if any)
Representative / Other Person Filing for Applicant
Their Full Name

First NameMiddle NameLast Name
Other Names
Date of Birth

MonthDayYear
Date
Country
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
A-Number
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Biographic Information
Ethnicity
Race

Other
Height
Weight
Eye Color
Immigration History
Ever in removal proceedings?
Ever had a reentry permit?
Ever had advance parole?
Replacement or Correction Request
Reason for Replacement
Correction - Name
Correction - Date of Birth

MonthDayYear
Date
Correction - A-Number
Correction - Photo

Cancelof
Document Delivery
Where should we send your document?
U.S. Address for document delivery

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Embassy/Consulate for document delivery
Reentry Permit Details
Time spent outside U.S.
Contact for pickup
Refugee Travel Document Details
Country of persecution
Will you travel back to that country?
Do you have a passport from that country?
Do you receive benefits from that country?
New nationality
Advance Parole Details
Date of departure

MonthDayYear
Date
Purpose of trip
Countries visiting
Trip type
Length of trip
Parole / Re-Parole Details
Explain eligibility
Length of stay
Supporting evidence
Contact and Signature
Request EAD with parole?
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Signature
Date of Signature

MonthDayYear
Date
Should be Empty:

FORM I-131 Application

Representative / Other Person Filing for Applicant

Biographic Information

Immigration History

Replacement or Correction Request

Document Delivery

Reentry Permit Details

Refugee Travel Document Details

Advance Parole Details

Parole / Re-Parole Details

Contact and Signature