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I-90 Application Form

I-90 Application to Replace Permanent Residence Card

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Information About You
Name
Has your name legally changed since the issuance of your Permanent Resident Card?
Provide your name exactly as it is printed on your current Permanent Resident Card
Name
Mailing Address
Physical Address
 Additional Information
Gender
Application Type
My status is (Select only one box):
Reason for Application (Select only one box)
Application Type
Processing Information
Have you ever been in exclusion, deportation, or removal proceedings or ordered removed from the United States?
Since you were granted permanent residence, have you ever filed Form I-407, Abandonment by Alien of Status as Lawful Permanent Resident, or otherwise been determined to have abandoned your status?
Biographic Information
Ethnicity (Select only one box)
Race
Eye color
Hair Color
Are you requesting an accommodation because of your disabilities and/or impairments?
 Applicant's Contact Information
Applicant's Certification

Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any of my records that USCIS may need to determine my eligibility for the immigration benefit I seek.

I further authorize release of information contained in this application, in supporting documents, and in my USCIS records
to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
I understand that USCIS will require me to appear for an appointment to take my biometrics (fingerprints, photograph,
and/or signature) and, at that time, I will be required to sign an oath reaffirming that:
1) I reviewed and provided or authorized all of the information in my application;
2) I understood all of the information contained in, and submitted with, my application
3) All of this information was complete, true, and correct at the time of filing.

I certify, under penalty of perjury, that I provided or authorized all of the information in my application, I understand all of the information contained in, and submitted with, my application, and that all of this information is complete, true, and correct.

Interpreter's Full Name
Interpreter's Mailing Address
 Interpreter's Contact Information
Preparer's Full Name
 Preparer's Mailing Address
Preparer's Contact Information
Checklist of Required Initial Evidence (for informational purposes only)

Please do not submit this checklist with your Form I-90. The checklist is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements. We recommend that you review these requirements before completing and submitting your form. Do not send original documents unless specifically requested in the form instructions or applicable regulations.

If you submit any documents (copies or original documents, if requested) in a foreign language, you must include a full English translation along with a certification from the translator verifying that the translation is complete and accurate, and that they are competent to translate from the foreign language into English.

If your previous card has been lost, stolen, destroyed, or mutilated, did you provide the following?

  • A copy of your Green Card or a government-issued form of identification that contains your name, date of birth, photograph, and signature.

If your previous card was issued but never received, did you provide the following?

  • A copy of a government-issued form of identification that contains your name, date of birth, photograph, and signature, and either:
    • A copy of your latest Form I-797, Notice of Action, for the form that should have resulted in the issuance of your Green Card; or
    • A copy of the page in your passport showing the I-551 stamp you received upon admission if you were admitted as an immigrant.

If your existing card has incorrect data because of a Department of Homeland Security error, did you provide the following?

  • Your original Green Card; or
  • Proof of your correct biographical data.

If your name or other biographic information has legally changed, or if your card has incorrect data and the error was not caused by the Department of Homeland Security, did you provide the following?

  • Appropriate legal documents that reflect new or correct biographical data; or
  • A copy of your Green Card.

If your existing card has already expired or will expire within six months, did you provide the following?

  • A copy of your expired/expiring Green Card.

If you have reached your 14th birthday, did you provide the following?

  • A copy of your current Green Card.

If you are a permanent resident who is taking up commuter status, did you provide the following?

  • Evidence of your employment that is dated within the last six months; or
  • A copy of your Green Card.

If you are a commuter who is taking up actual residence in the United States, did you provide the following?

  • Evidence of your U.S. residence. If proof of residence (such as utility bills) are in your spouse or parent’s name, provide a copy of your original marriage or birth certificate; or
  • Copy of your Green Card.

If you have been automatically converted to lawful permanent resident status, did you provide the following?

  • Evidence of your temporary residence status; or
  • A copy of a government-issued identification document that contains your name, date of birth, photograph, and signature.

If you have a prior edition of the Alien Registration Card, or are applying to replace your current Green Card for a reason that is not specified above, did you provide the following?

  • Copy of your Alien Registration Card or Green Card.
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