Form I-102 - Application For Replacement/initial Nonimmigrant Arrival-Departure Document - U.s. Citizenship And Immigration Services

Download a blank fillable Form I-102 - Application For Replacement/initial Nonimmigrant Arrival-Departure Document - U.s. Citizenship And Immigration Services in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form I-102 - Application For Replacement/initial Nonimmigrant Arrival-Departure Document - U.s. Citizenship And Immigration Services with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Application for Replacement/Initial Nonimmigrant
Arrival-Departure Document
USCIS
Form I-102
Department of Homeland Security
OMB No. 1615-0079
U.S. Citizenship and Immigration Services
Expires 10/31/2017
Action Block
Receipt
To Be Completed by an
Attorney or Accredited
Representative,
if any.
For
Select this box if Form
USCIS
G-28 is attached to
New I-94 Number
Use
represent the applicant.
Only
Attorney State
License Number
Remarks
►
START HERE. Type or print in black ink
Part 1. Information About You
U.S. Physical Address
1.
Alien Registration Number (A-Number)
6.a.
In Care Of Name
►
A-
6.b.
Street Number
2.
USCIS Online Account Number (if any)
and Name
►
6.c. Apt.
Ste.
Flr.
Your Full Name
6.d.
City or Town
3.a. Family Name
(Last Name)
6.e.
State
6.f.
ZIP Code
3.b.
Given Name
(First Name)
Other Information
3.c.
Middle Name
►
7.
Date of Birth
(mm/dd/yyyy)
U.S. Mailing Address
8.
Country of Birth
4.a.
In Care Of Name
9.
Country of Citizenship
4.b.
Street Number
and Name
10.
U.S. Social Security Number (if any)
4.c. Apt.
Ste.
Flr.
►
4.d.
City or Town
Entry Information
4.e.
4.f.
State
ZIP Code
11.
Date of Last Entry into the United States
5.
Is your current U.S. mailing address the same as your
►
(mm/dd/yyyy)
U.S. physical address?
Yes
No
12.
Place of Last Entry into the United States (City and State)
If you answered "No" to Item Number 5., provide your
U.S. physical address in Item Numbers 6.a. - 6.f.
Form I-102 12/23/16 N
Page 1 of 4

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form I-102 - Application For Replacement/initial Nonimmigrant Arrival-departure Document Form I-102 - Application For Replacement/initial Nonimmigrant Arrival-departure Document Legal
Form I-102 - Application For Replacement/initial Nonimmigrant Arrival - Departure Document Form I-102 - Application For Replacement/initial Nonimmigrant Arrival - Departure Document Legal
I-102: Application For Replacement/initial Nonimmigrant Arrival I-102: Application For Replacement/initial Nonimmigrant Arrival Legal
Form I-914 - Supplement A, Application For Family Member Of T-1 Recipient - U.s. Citizenship And Immigration Services Form I-914 - Supplement A, Application For Family Member Of T-1 Recipient - U.s. Citizenship And Immigration Services Legal
Instructions For Application For Replacement/initial Nonimmigrant Arrival-departure Document (form I-102) Instructions For Application For Replacement/initial Nonimmigrant Arrival-departure Document (form I-102) Legal
Form I-129s - Nonimmigrant Petition Based On Blanket L Petition - U.s. Citizenship And Immigration Services Form I-129s - Nonimmigrant Petition Based On Blanket L Petition - U.s. Citizenship And Immigration Services Legal
Form I-601 - Application For Waiver Of Grounds Of Inadmissibility - U.s. Citizenship And Immigration Services Form I-601 - Application For Waiver Of Grounds Of Inadmissibility - U.s. Citizenship And Immigration Services Legal
Form I-821 - Application For Temporary Protected Status - U.s. Citizenship And Immigration Services Form I-821 - Application For Temporary Protected Status - U.s. Citizenship And Immigration Services Legal
Form I-912 - Request For Fee Waiver - U.s. Citizenship And Immigration Services Form I-912 - Request For Fee Waiver - U.s. Citizenship And Immigration Services Legal
Form I-864a - Contract Between Sponsor And Household Member - U.s. Citizenship And Immigration Services Form I-864a - Contract Between Sponsor And Household Member - U.s. Citizenship And Immigration Services Legal

Related Categories

Parent category: Legal
Download
Go
Page of 4