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I-90

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G-1145 Form PDF

Personalized Filling Instructions

Cover Letter

Where to File

Application to Replace Permanent Resident Card

Department of Homeland Security

U.S.Citizenship and Immigration Services

USCIS

Form I-90

OMB No. 1615-0082

Expires 07/31/2019

For USCIS Use Only

Applicant Interviewed

Date:_________________

Class of Admission

Receipt

Remarks

Action Block

Start Here. Type or Print in Black Ink

Part 1. Information About You

1.	Alien Registration Number (A-Number)

A-

2.	USCIS Online Account Number (if any)

Your Full Name

NOTE: Your card will be issued in this name.

3.a.	Family Name (Last Name)
3.b.	Given Name (First Name)
3.c.	Middle Name

4.	Has your name legally changed since the issuance of your Permanent Resident Card?

Yes (Proceed to Item Numbers 5.a. - 5.c.)

Yes (Proceed to Item Numbers 6.a. - 6.i.)

N/A - I never received my previous card.
(Proceed to Item Numbers 6.a. - 6.i.)

Provide your name exactly as it is printed on your current Permanent Resident Card.

NOTE: Attach all evidence of your legal name change with
this application

5.a.	Family Name (Last Name)
5.b.	Given Name (First Name)
5.c.	Middle Name

Mailing Address

6.a.

In Care Of Name

6.b.

Street Number
and Name

6.c.

Apt.

Ste.

Flr.

6.d.

City or Town

6.e.

State

6.f.

ZIP Code

6.g.

Province

6.h.

Postal Code

6.i.

Country

Physical Address

Provide this information only if different than mailing address

7.a.

Street Number
and Name

7.b.

Apt.

Ste.

Flr.

7.c.

City or Town

7.d.

State

7.e.

ZIP Code

7.f.

Province

7.g

Postal Code

7.h.

Country

Form I-90 02/27/17 N

Page 1 of 7

Part 1. Information About You (continued)

Additional Information

Gender

Male

Female

Date of Birth

(mm/dd/yyyy)

10.

City/Town/Village of Birth

11.

Country of Birth

Mother's Name

12.

Given Name (First Name)

Father's Name

13.

Given Name (First Name)

14.

Class of Admission

15.

Date of Admission

(mm/dd/yyyy)

16.

U.S. Social Security Number (if any)

Part 2. Application Type

NOTE: If your conditional permanent resident status (for example: CR1, CR2, CF1, CF2) is expiring within the next 90 days, then do not file this application. (See the What is the Purpose of This Application section of the Form I-90 Instructions for further information.)

My status is (Select only one box):

1.a.

Lawful Permanent Resident (Proceed to Section A.)

1.b.

Permanent Resident - In Commuter Status
(Proceed to Section A.)

1.c.

Conditional Permanent Resident
(Proceed to Section B.)

Reason for Application (Select only one box)

Section A. (To be used only by a lawful permanent resident or
a permanent resident in commuter status.)

2.a.

My previous card has been lost, stolen, or destroyed.

2.b.

My previous card was issued but never received.

2.c.

My existing card has been mutilated.

2.d.

My existing card has incorrect data because of Department of Homeland Security (DHS) error. (Attach your existing card with incorrect data along with this application.)

2.e.

My name or other biographic information has been legally changed since issuance of my existing card.

2.f.

My existing card has already expired or will expire within six months.

2.g.1.

I have reached my 14th birthday and am registering
as required. My existing card will expire AFTER my 16th birthday. (See NOTE below for additional information.)

2.g.2.

I have reached my 14th birthday and am registering
as required. My existing card will expire BEFORE my 16th birthday. (See NOTE below for additional information.)

NOTE: If you are filing this application before your 14th birthday, or more than 30 days after your 14th birthday, you must select reason 2.j. However, if
your card has expired, you must select reason 2.f.

2.h.1.

I am a permanent resident who is taking up commuter status.

2.h.1.a.

My Port-of-Entry (POE) into the United States will be:
City or Town and State

2.h.2.

I am a commuter who is taking up actual residence in the United States.

2.i.

I have been automatically converted to lawful permanent resident status.

2.j.

I have a prior edition of the Alien Registration Card, or I am applying to replace my current Permanent Resident Card for a reason that is not specified above.

Form I-90 02/27/17 N

Page 2 of 7

Part 2. Application Type (continued)

Section B. (To be used only by a conditional permanent resident.)

3.a.

My previous card has been lost, stolen, or destroyed.

3.b.

My previous card was issued but never received.

3.c.

My existing card has been mutilated.

3.d.

My existing card has incorrect data because of (DHS) error. (Attach your existing permanent resident card with incorrect data along with this application.)

3.e.

My name or other biographic information has legally changed since issuance of my existing card.

Part 3. Processing Information

1.	Location where you applied for an immigrant visa or adjustment of status:
2.	Location where your immigrant visa was issued or USCIS office where you were granted adjustment of status:

Complete Item Numbers 3.a. and 3.a1. if you entered the United States with an immigrant visa. (If you were granted adjustment of status, proceed to Item Number 4.)

3.a.

Destination in the United States at time of admission

3.a.1.

My Port-of-Entry (POE) into the United States:
City or Town and State

Have you ever been in exclusion, deportation, or removal proceedings or ordered removed from the United States?

Yes

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?

Yes

NOTE: If you answered "Yes" to Item Numbers 4. or 5. above, provide a detailed explanation in the space provided in Part 8. Additional Information.

Biographic Information

Ethnicity (Select only one box)

Hispanic or Latino

Not Hispanic or Latino

Race (Select all applicable boxes)

White

Asian

Black orAfrican American

American Indianor Alaska Native

Native Hawaiian or Other Pacific Islander

Height

Feet

Inches

Weight

Pounds

10.

Eye color (Select only one box)

Black	Blue	Brown
Gray	Green	Hazel
Maroon	Pink	Unknown/Other

11.

Hair Color(Select only one box)

Bald (No hair)	Black	Blond
Brown	Gray	Red
Sandy	White	Unknown/Other

Part 4. Accommodations for Individuals with Disabilities and/or Impairments (Read the information in the Form I-90 Instructions before completing this part.)

NOTE: If you need extra space to complete this section, use the space provided in Part 8. Additional Information.

Are you requesting an accommodation because of your disabilities and/or impairments?

Yes

If you answered "Yes," select any applicable boxes:

1.a.

I am deaf or hard of hearing and request the following accommodation (If you are requesting a sign-language interpreter, indicate for which language (for example, American Sign Language)):

Form I-90 02/27/17 N

Page 3 of 7

Part 4. Accommodations for Individuals with Disabilities and/or Impairments (continued)

1.b.

I am blind or have low vision and request the following accommodation:

1.c.

I have another type of disability and/or impairment (Describe the nature of your disability and/or impairment and the accommodation you are requesting):

Part 5. Applicant's Statement, Contact Information, Certification, and Signature

NOTE:Read the Penalties section of the Form I-90 Instructions before completing this part

Applicant's Statement

NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.

1.a.

I can read and understand English, and I have read and understand every question and instruction on this application and my answer to every question.

1.b.

The interpreter named in Part 6. read to me every question and instruction on this application and my answer to every question in

a language in which I am fluent, and I understood everything.

At my request, the preparer named in Part 7.,

prepared this application for me based only upon information I provided or authorized

Applicant's Contact Information

Applicant's Daytime Telephone Number

Applicant's Mobile Telephone Number (if any)

Applicant's Email Address (if any)

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 may 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; and
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.

Applicant's Signature

6.a.	Applicant's Signature (sign in ink)

6.b.

Date of Signature (mm/dd/yyyy)

NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application.

Form I-90 02/27/17 N

Page 4 of 7

Part 6. Interpreter's Contact Information, Certification, and Signature

Provide the following information about the preparer.

Interpreter's Full Name

1.a.

Interpreter's Family Name (Last Name)

1.b.

Interpreter's Given Name (First Name)

Interpreter's Business or Organization Name (if any)

Interpreter's Mailing Address

3.a.

Street Number
and Name

3.b.

Apt.

Ste.

Flr.

3.c.

City or Town

3.d.

State

3.e.

ZIP Code

3.f.

Province

3.g.

Postal Code

3.h.

Country

Interpreter's Contact Information

Interpreter's Daytime Telephone Number

Interpreter's Mobile Telephone Number (if any)

Interpreter's Email Address (if any)

Interpreter's Certification

I certify, under penalty of perjury, that:

I am fluent in English and

which is the same language specified in Part 5., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Certification, and has verified the accuracy of every answer.

Interpreter's Signature

7.a.

Interpreter's Signature

7.b.

Date of Signature (mm/dd/yyyy)

Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Application, If Other Than the Applicant

Provide the following information about the preparer.

Preparer's Full Name

1.a.

Preparer's Family Name (Last Name)

1.b.

Preparer's Given Name (First Name)

Preparer's Business or Organization Name (if any)

Preparer's Mailing Address

3.a.

Street Number
and Name

3.b.

Apt.

Ste.

Flr.

3.c.

City or Town

3.d.

State

3.e.

ZIP Code

3.f.

Province

3.g.

Postal Code

3.h.

Country

Preparer's Contact Information

Preparer's Daytime Telephone Number

Preparer's Mobile Telephone Number (if any)

Preparer's Email Address (if any)

Form I-90 02/27/17 N

Page 5 of 7

Part 7. Contact Information, Declaration, and Signature of the Person Preparing this
Application, If Other Than the Applicant (continued)

Preparer's Statement

7.a.

I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's consent.

7.b.

I am an attorney or accredited representative and my representation of the applicant in this case
extends does not extend beyond the
preparation of this application.

NOTE: If you are an attorney or accredited representative whose representation extends beyond preparation of this application, you may be obliged to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, with this application.

Preparer's Certification

By my signature, I certify, under penalty of perjury, that I
prepared this application at the request of the applicant. The
applicant then reviewed this completed application and
informed me that he or she understands all of the information
contained in, and submitted with, his or her application,
including the Applicant's Certification,, and that all of this
information is complete, true, and correct. I completed this
application based only on information that the applicant
provided to me or authorized me to obtain or use

Preparer's Signature

8.a.

Preparer's Signature

8.b.

Date of Signature (mm/dd/yyyy)

Form I-90 02/27/17 N

Page 6 of 7

Part 8. Additional Information

If you need extra space to provide any additional information
within this application, use the space below. If you need more
space than what is provided, you may make copies of this page
to complete and file with this application or attach a separate
sheet of paper.Type or print your name and A-Number (if any) at
the top of each sheet; indicate the Page Number, Part
Number, and Item Number to which your answer refers; and
sign and date each sheet.

Your Full Name

1.a.

Family Name
(Last Name)

1.b.

Given Name
(First Name)

1.c.

Middle Name

2.	A-Number (if any)

A-

3.a.

Page Number

3.b.

Part Number

3.c.

Item Number

3.d.

4.a.

Page Number

4.b.

Part Number

4.c.

Item Number

4.d.

5.a.

Page Number

5.b.

Part Number

5.c.

Item Number

5.d.

6.a.

Page Number

6.b.

Part Number

6.c.

Item Number

6.d.

7.a.

Page Number

7.b.

Part Number

7.c.

Item Number

7.d.

Form I-90 02/27/17 N

Page 7 of 7

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Permanent residents use Form I-90, Application to Replace Permanent Resident Card, to replace or renew a green card. By law, permanent residents age 18 and older must have a valid, unexpired green card (or equivalent identification) at all times.

If you are a permanent resident and your 10-year green card is expired or will expire within the next 6 months, you may renew the card by filing Form I-90. Most people submit Form I-90 to renew their green card, but other common reasons to replace a green card include:

Your card was lost, stolen or destroyed.
Your card was issued but never received.
Your name or other biographic information has been legally changed.
Your card was mutilated.
Your card has incorrect data.
You have reached your 14th birthday and are registering as required.

You have the following responsibilities upon completion:

The signed form must be mailed directly to USCIS.
All the applicable USCIS fees must be paid by you

Disclaimer: Citizen Concierge is an independent firm that supplies self-governed immigration services. We are not associated with USCIS or any government agency and the data provided on this website is for general guidance about common immigration matters only - it should not be taken as legal advice. Additionally, as we are not a law practice of any kind, we cannot offer any form of lawful consultation. If you have questions that require professional legal expertise, please contact an attorney instead.

I understand and agree.

Before proceeding with the application process for Form I-90, it is important to determine whether you are eligible to file this form.

Basis of Application

Please indicate your present immigration status by making a selection.*

I am a permanent resident in commuter status I am a permanent resident I am a conditional permanent resident I have never had permanent resident status

The majority of applicants are individuals who hold permanent resident status.

Please note that this application is specifically intended for use by permanent residents who wish to request a replacement or renewal of their existing Permanent Resident Cards.

Are you currently in the United States?*

Yes No

It is mandatory to file this application while you are physically present in the United States.

Are you currently in the United States?*

Yes No

It is mandatory to file this application while you are physically present in the United States.

Will your Permanent Resident Card expire within the next 90 days? For instance, on or before *

Yes No

Select 'Yes' if your conditional status expires before the

It is important to complete and file Form I-90 while you are physically present in the United States. If you need to travel outside the U.S. while your application is pending, you may need to file Form I-131A, which is the Application for Travel Document (Carrier Documentation), in order to return to the U.S. Please refer to this article for more information on your options.

It is important to complete and file Form I-90 while you are physically present in the United States. If you need to travel outside the U.S. while your application is pending, you may need to file Form I-131A, which is the Application for Travel Document (Carrier Documentation), in order to return to the U.S. Please refer to this article for more information on your options.

Alternatively, if you have conditional permanent resident status through marriage to a U.S. citizen or permanent resident, you may need to file Form I-751, which is the Petition to Remove Conditions on Residence. If you became a conditional resident based on a financial investment in a U.S. business, you may need to file Form I-829, which is the Petition by Entrepreneur to Remove Conditions.

What is the reason for your intended use of this application?*

My previous card has been lost, stolen, or destroyed. My previous card was issued but never received. My existing card has been mutilated. My existing card has incorrect data because of DHS error. My name or other biographic information has been legally changed since issuance of my existing card. I want to renew my green card.

Please choose the reason that best applies to your situation for initiating this application.

What is the reason for your intended use of this application?*

My existing card will expire in 6 months or has already expired. My previous card has been lost, stolen, or destroyed. My previous card was issued but never received. My existing card has been mutilated. My existing card has incorrect data because of DHS error. My name or other biographic information has been legally changed since issuance of my existing card. I have reached my 14th birthday and I am registering as required. I am a permanent resident who is taking up commuter status. I have been automatically converted to permanent resident status. I have a prior edition of the Alien Registration Card. I am applying to replace my current Permanent Resident Card for a reason that is not specified above.

Please choose the reason that best applies to your situation for initiating this application.

If you are submitting Form I-90 due to not receiving your Permanent Resident Card and you meet ALL of the following conditions:

USCIS mailed the card over 30 days ago,

it was returned to USCIS as undeliverable,

you have not changed your address since you provided it to USCIS,

then you are not required to pay a filing fee.

If you do not meet ALL of these conditions, please go back and select "My card has been lost, stolen, or destroyed."

My current card:

Will expire before my 16th birthday. Will expire after my 16th birthday. Has already expired.

When using this category, you must file this form within 30 days after turning 14 years of age.

My 14th birthday was more than 30 days ago. My 14th birthday was less than 30 days ago. I have not turned 14 yet.

If you have exceeded the 30-day timeframe after turning 14 years of age, you are ineligible to use this category. Please go back and select the option that states, "I am applying to replace my current permanent resident card for a reason that is not specified above."

If you wish to use this category, it is mandatory to file within 30 days of turning 14 years of age. You may prepare the application ahead of time, but you must not file it until the applicant's 14th birthday or within 30 days after that date.

If your card has expired, you must go back and select “My existing card will expire within 6 months or has already expired.”

Temporary Green Card

Please note that obtaining a new Permanent Resident Card may take several months. However, you may be eligible to receive temporary proof of permanent residence for purposes such as accepting employment, re-entering the United States, renewing your driver's license, or other similar needs. Details on how to obtain this temporary proof will be explained in your filing instructions.

Do you wish to receive instructions on how to obtain temporary proof of permanent residence?*

Yes No

Please let us know if you would like to receive guidance on obtaining temporary proof of permanent residence while waiting for your new card to arrive.

Select the Port of Entry (POE) where you will regularly pass through to reach your employment in the United States

Eligibility

Have you EVER been involved in exclusion, deportation, or removal proceedings, or have you ever been ordered to leave the United States?*

Yes No

Exclusion, deportation, and removal proceedings are all terms used to describe a situation in which an individual is required to appear before an immigration judge to address a challenge to their immigration status.

Based on your response to this question, it appears that you may have a complex immigration history that could benefit from the assistance of a legal professional. To ensure the best possible outcome for your case, Citizen Concierge recommends that you seek the advice and representation of an experienced immigration attorney who can provide you with additional guidance and support.

I acknowledge that I have the option to consult with an attorney, but I choose to proceed with the application process regardless.

Have you been charged with any misdemeanor or felony crime since being granted permanent residence?*

Yes No

It is important to answer this question truthfully, as any type of misdemeanor or felony arrest can impact the approval of your application. Even if the arrest was for a minor offense such as a DUI (driving under the influence), it is crucial to disclose this information.

Based on your response to this question, it appears that you may have a complex immigration history that could benefit from the assistance of a legal professional. To ensure the best possible outcome for your case, Citizen Concierge recommends that you seek the advice and representation of an experienced immigration attorney who can provide you with additional guidance and support.

I acknowledge that I have the option to consult with an attorney, but I choose to proceed with the application process regardless.

Based on your answer to this question, it appears that you may have a complex immigration history that could benefit from the assistance of a legal professional. To ensure the best possible outcome for your case, Citizen Concierge recommends that you speak with an experienced immigration attorney who can provide you with additional guidance and representation.

I acknowledge that I have spoken to an attorney and / or want to continue anyway

I acknowledge that I have spoken to an attorney and / or want to continue anyway

Have you ever filed Form I-407, which is the Abandonment by Alien of Lawful Permanent Resident Status form, or have you been deemed to have abandoned your status as a Lawful Permanent Resident at any point since being granted permanent residence?*

Yes No

If you have filed Form I-407, it is possible that you have abandoned your status as a Lawful Permanent Resident. Furthermore, if a court has ever determined that you have abandoned your status, please select "Yes" to indicate this.

Based on your response to this question, it appears that you may have a complex immigration history that could benefit from the assistance of a legal professional. To ensure the best possible outcome for your case, Citizen Concierge recommends that you seek the advice and representation of an experienced immigration attorney who can provide you with additional guidance and support.

I acknowledge that I have the option to consult with an attorney, but I choose to proceed with the application process regardless.

Have you ever served in the U.S. armed forces and been honorably discharged?*

Yes No

Congratulations, it appears that you are eligible to proceed with filing Form I-90 to replace your Permanent Resident Card
Please click on the "Next" button to proceed.

Let's begin by collecting some basic information about you.

Applicant's Current Legal Name

Please provide your current legal name as it should appear on your new Permanent Resident Card (green card), including your first, middle (if applicable), and last name. If you do not have a middle name, you may leave that field blank.

First Name*

Middle Name

Last Name*

Have you legally changed your name since your most recent Permanent Resident Card (green card) was issued?*

I never received my previous card Yes No

Is your current name (as listed above) different from the name printed on your most recent Permanent Resident Card?

Type your name exactly as it appears on your Permanent Resident Card.

If you have changed your name since the issuance of your card, you will be required to submit legal documents such as a registered copy of your marriage certificate, divorce decree, adoption decree, or other court-issued documents to support your name change.

First Name*

Middle Name

Last Name*

Physical Address

Please provide your complete physical address, which is the place where you currently reside in the United States. Your address should include your street number and name, apartment number (if applicable), city, state, and ZIP code.

Street Number/Name*

Is there an at, suite or floor*

Enter number:*

City/Town*

State/Territory*

ZIP Code*

Mailing Address

Do you have a different mailing address than your physical address?*

Yes No

Indicate if you prefer to receive mail at a different address than the one listed above.

Mailing Address

If you prefer to receive mail at an address other than your physical address, you may provide a valid residence, APO, C/O, or commercial address. This may include a Post Office address (P.O. Box) if that is how you receive your mail. If someone other than yourself will be receiving your mail, please include their name in the "In Care of Name" field as part of your mailing address. If your mailing address is in a U.S. territory and includes an urbanization name, please list the urbanization name in the "In Care of Name" field..

In Care of Name

Street Number/Name*

Is there an apt, suite or floor?*

Enter number:*

City/Town*

State/Territory*

ZIP Code*

You're almost halfway there.

We have a few more questions about you.

Birth Data

Place of Birth

Enter your city, town or village of birth. Select the country.

Date of Birth*

City or Town*

Country Birth*

Enter country:*

I'm sorry, but based on your response, you cannot proceed with the application. You indicated that you were born in the US. Individuals born in the US are automatically considered to be US citizens, and therefore cannot be both US citizens and lawful permanent residents.

Parents' Names

Please provide your mother's and father's first name only. If you do not know their first names, you may enter "Unknown."

Mother's Given Name*

Father's Given Name*

Biographic Data

Gender/Sex*

Male Female

Ethnicity*

Not Hispanic or Latino Hispanic or Latino

If you are Hispanic or Latino you are still required to select a race below

Race*

White Asian Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander

Select all applicable boxes that describe your race.

Height*

feet inches

Weight*

lbs

Eye Color*

Gray Green Hazel Maroon Black Blue Brown Pink Unknown/Other

Select the option that best describes the natural color of your eyes.

Hair Color*

Blond Brown Gray Red Bald (no hair) Black Sandy White Unknown/Other

Select the option that best describes the natural color of your hair.

Great job so far!

Please answer a few more questions to complete your application.

Your Permanent Resident Card

To complete this section, it may be helpful to have your Permanent Resident Card or a copy of it available. If you do not have your card with you, you can save your progress and resume later.

You claimed that your card had been damaged, stolen, lost, or destroyed.
To guide you through this phase, please read the following additional instructions.

Card Lost, Stolen, or Destroyed

If your permanent resident card has been lost, stolen, or destroyed, we offer additional support to help you in this situation.

A-Number

For most individuals, the Alien Registration Number (A-Number) can be found on other government documents. If you are unable to locate this number anywhere, please select the option "I no longer have my card and can't find this information."

Class of Admission

If you cannot find the Class of Admission code due to the missing card, select the option "I no longer have my card and can't find this information."

Date of Admission

If you are unable to find the Date of Admission due to the missing card, choose the option "I no longer have my card and can't find this information."

Becoming a Permanent Resident

If you are unsure about the location where you applied for your green card and where it was issued, simply enter "unknown" for the location.

Providing this information is crucial for the U.S. Citizenship and Immigration Services to locate your file and issue a new permanent resident card for the correct individual. Please ensure that you complete all the necessary fields; otherwise, your application may be rejected in certain cases. If your application is rejected, you will receive a refund of the filing fee. In rare instances, you may need to file Form G-639, FOIA Request, to recover your information.

Upon completing this application, Citizen Concierge will provide you with filing instructions that include sample cover letters. These letters will help you explain your situation to USCIS effectively.

It appears that you have reported a lost, stolen, damaged, or destroyed card. Please review the following information to help you complete this section:

Alien Registration Number

Your Alien Registration Number, also known as an "A-Number," is a unique 8- or 9-digit number found on your Permanent Resident Card. Please provide only your correct A-Number as using a false one can lead to the denial of your application.

Alien Registration Number (A-Number)*

A-

Enter numbers only. Do not enter letters or dashes.

I can't find this information and I don't have my card anymore.

"I do not have my card and cannot locate this information.

Resident Since Date

The resident since date is the date when you were given lawful permanent resident or conditional resident status, and not the date when you entered the United States. It can be found on the front of your Permanent Resident Card next to the phrase “Resident Since” as shown in the example on the right.

Resident Since:*

I can't find this information and I don't have my card anymore.

Becoming a Permanent Resident

This section covers how and where you first obtained your permanent resident status

How did you get your permanent resident or conditional permanent resident status?*

I applied for an immigrant visa outside the U.S. (consular processing) I applied for permanent residence in the U.S. (adjustment of status)

Please specify whether you obtained your permanent resident or conditional permanent resident status through consular processing or adjustment of status.

Location where you applied for an immigrant visa:*

Please provide the city and country of the U.S. embassy or consulate where you applied for permanent residence (green card).

Please indicate the location where your immigrant visa was issued.*

Please provide the name of the city and country where the U.S. embassy or consulate that granted you permanent residence is located.

Where was your destination when you came to the U.S.?*

Port of Entry

Your Port of Entry is the location where you arrived in the United States and were inspected by U.S. Customs and Border Protection. Ports of Entry are generally listed as locations but can be airports, sea terminals, border crossings and government facilities where you were admitted to the U.S.

Country

City in Aruba

City in Austria

City in Bahamas

City in Bermuda

City in Canada

City in China

City in England

City in Germany

City in Ghana

City in Greece

City in Haiti

City in Honduras

City in India

City in Ireland

City in Italy

City in Jordan

City in Kenya

City in Korea

City in Mexico

City in Pakistan

City in the Phillipines

City in Russia

City in Singapore

City in South Africa

City in Thailand

City in the United States

Enter Port of Entry:

Which USCIS office did you apply for adjustment of status?*

Please choose the USCIS office where you submitted your Form I-485, which is the application to register permanent residence or adjust your status.

Did you attend an interview as part of your adjustment of the status application process?*

Yes No I don't know

Indicate whether or not you had an interview after filing Form I-485.

Please select the USCIS office that granted your adjustment of status.*

Please select the USCIS office that approved your Permanent Resident status (Green Card).

Please choose the USCIS office where you had your adjustment of status interview. This will be the same office that approved your permanent resident status.

We require some more details about the person who filled out the form.

Applicant Contact Information

Please provide your contact information for USCIS to be able to reach you. You can include your mobile phone number and/or email address, which will be used to generate a complimentary Form G-1145 for you. This form, submitted with your Form I-90, allows USCIS to send you text and/or email notifications when your application has been accepted for processing.

Daytime Mobile Number*

Mobile Number

E-mail

Other Information

Social Security Number

If you don't have a Social Security Number, please leave the field blank. Providing a false SSN may result in the denial of your application.

USCIS Online Account Number

The USCIS Online Account Number is a unique 12-digit number that is assigned to you when you create an account on the USCIS website. It is not the same as an A-Number. If you have not created an account or do not know your USCIS Online Account Number, you may leave this field blank.

Interpreter*

Did you receive help from an interpreter to prepare this application?*

Yes No

I am able to read and understand English. I have read and understood all of the instructions and questions on this application, as well as my answers to all of the questions.

An interpreter read to me every question and instruction on this application and my answer to every question in a language in which I am fluent. I understood every question and instruction on this application as translated to me by my interpreter

Interpreter's Data

In which language were the questions and instructions originally presented to you?

Interpreter's First Name*

Interpreter's Last Name*

Interpreter's Business or Association Name

Interpreter's Mailing Address

Street Number and Name*

Is there an apt, suite/floor?

Enter number:*

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Interpreter's Contact Information

Daytime Mobile Number*

Mobile Number

E-mail

Preparer

Who prepared this application for you?*

I completed this application myself as the applicant. With the consent of the applicant, I, who am not an attorney or accredited representative, prepared this application. As the attorney or accredited representative of the applicant, I prepared this application.

My portrayal of the candidate for this situation:*

My involvement extends beyond the preparation of this application. My involvement does not extend beyond the preparation of this application.

Preparer's Information

Preparer's First Name*

Preparer's Last Name*

Preparer's Business or Association Name

Preparer's Postage information

Street Number/Name*

Is there an apt, suite or floor?

Enter Number*

City/Town*

Country*

State *

ZIP Code *

Province *

Postal Code *

Preparer's Contact Information

Daytime Mobile Number*

Mobile Number

E-mail

Accommodations for Individuals With Disabilities and Impairments

If you need to provide more information than the space allows, you can attach an additional sheet of paper and write your Alien Registration Number (A-Number) at the top of each page.

Can you provide information about any accommodations you may require due to a disability and/or impairment?*

Yes No

USCIS is dedicated to offering sensible accommodations for eligible individuals with disabilities and impairments.

I am deaf or hard of hearing and request the following accommodation:

If requesting a sign-language interpreter, indicate for which language (Example: American Sign Language)

I am blind or have low vision and request the following accommodation:

I have another type of disability and / or impairment:

Describe the nature of the disability and/or impairment and accommodation you are requesting

Secure Checkout

You will be redirected to the confirmation page to download the completed from upon successful payment confirmation. The form price is $99.00 and includes the completed form plus filing instructions.

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I-90

G-1145 Form PDF

Personalized Filling Instructions

Cover Letter

Where to File

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Before proceeding with the application process for Form I-90, it is important to determine whether you are eligible to file this form.

Basis of Application

Temporary Green Card

Eligibility

Let's begin by collecting some basic information about you.

Applicant's Current Legal Name

Type your name exactly as it appears on your Permanent Resident Card.

Physical Address

Mailing Address

Mailing Address

You're almost halfway there.

Birth Data

Place of Birth

Parents' Names

Biographic Data

Great job so far!

Your Permanent Resident Card

Card Lost, Stolen, or Destroyed

Alien Registration Number

Category

Resident Since Date

Becoming a Permanent Resident

Port of Entry

We require some more details about the person who filled out the form.

Applicant Contact Information

Other Information

Interpreter*

Interpreter's Data

Interpreter's Mailing Address

Interpreter's Contact Information

Preparer

Preparer's Information

Preparer's Postage information

Preparer's Contact Information

Accommodations for Individuals With Disabilities and Impairments

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