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5. U.S. Residence Address - List your U.S. residence

application fee and biometric fee with this application

address if this address is different from your U.S. mailing

if filing using reason "A."

address. You must list a valid home address in the United

B. My previous card was issued but never received -

States.

Check this reason if you never received your card.

6. Gender - Check the appropriate box.

Submit a copy of the latest Form I-797, Notice of

Action, for Form I-485, Form I-751, Form I-829, or

7. Date of Birth - List the date on which you were born in

Form I-90 that should have resulted in issuance of your

mm/dd/yyyy format.

Permanent Resident Card. You must also submit a

copy of a government-issued form of identification that

8. Country of Birth - List the country in which you were

contains your name, date of birth, photograph, and

born.

signature; e.g., passport, driver's license, military

identification document. No application fee and no

9. City/Town/Village of Birth - List the city, town, or

biometric fee are required if filing using reason "B."

village in which you were born.

NOTE: This reason for filing does not apply if the

10. Social Security Number - List your 9-digit U.S. Social

card was mailed to you at the address you provided,

Security Number.

and it was never returned as undeliverable to USCIS.

To determine if your card was returned to USCIS, call

11. A-Number - List your 8-digit or 9-digit Alien Registration

the National Customer Service Center at

Number.

1-800-375-5283 or visit

and check

12. Class of Admission - List the three letter code for the

your case status online. If the card was not returned as

immigrant category under which you were granted

undeliverable to USCIS, then you must file Form I-90

permanent resident or conditional permanent resident

using reason "A" (My previous card has been lost,

status. This code can be found on your card, and it is

stolen, or destroyed).

typically one or two letters followed by a number.

C. My existing card has been mutilated - Check this

13. Date of Admission - List the date on which you were

reason if your card is mutilated or partially destroyed.

granted permanent resident or conditional permanent

Submit a copy of your Permanent Resident Card or a

resident status in mm/dd/yyyy format.

government-issued form of identification that contains

your name, date of birth, photograph, and signature;

Part 2. Application Type

e.g., passport, driver's license, or military

identification document. You must include the

1. My status is - Check only one box that pertains to your

application fee and biometric fee with this

current immigration status.

application if filing using reason "C."

2. Reason for application - Check only one box in either

D. My existing card has incorrect data because of

Section A or Section B based on the section that is

USCIS error - Check this reason if your card has

applicable to you. Thoroughly read the instructions below

incorrect data, and the error was caused by USCIS.

before selecting the appropriate box in either Section A or

Attach the original Permanent Resident Card issued

Section B.

with the incorrect data. A copy of the card is not

acceptable in this case. Failure to submit the original

Section A

Permanent Resident Card will result in the rejection of

Form I-90.

This section is only applicable to permanent residents or

permanent residents in commuter status. This section must not

Include proof of your correct name or biographical

be used by conditional permanent residents, who must

data. Submit a copy of the original court order

complete Section B.

reflecting your name or a copy of your original

marriage certificate, divorce decree, birth certificate,

A. My previous card was lost, stolen, or destroyed -

Check this reason if your card was lost, stolen, or

adoption decree, passport, or applicable court

destroyed. Submit a copy of your Permanent Resident

documents, etc. Legal name change documents

Card or a government-issued form of identification that

submitted as evidence of a name change must have

contains your name, date of birth, photograph, and

been registered with the proper civil authority. No

signature; e.g., passport, driver's license, or military

application fee and no biometric fee are required if

identification document. You must include the

filing using reason "D."

Form I-90 Instructions (Rev. 11/23/10) Y Page 2

Instructions For Form I-90 - Application To Replace Permanent Resident Card - Department Of Homeland Security Page 2

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