Form I 90 PDF Details

Filing an Application to Replace Permanent Resident Card, known as Form I-90, is a critical procedure for permanent residents and conditional permanent residents in the United States seeking to renew or replace their Permanent Resident Card (Green Card). Managed by the U.S. Citizenship and Immigration Services (USCIS), part of the Department of Homeland Security, this form is essential for maintaining valid, legal status in the U.S. The I-90 form is used under various circumstances, including replacement of lost, stolen, or damaged cards, updates due to legal name changes, corrections of data errors made by the Department of Homeland Security, and renewals of expiring cards. Additionally, it covers individuals who have reached their 14th birthday and need to register per legal requirements, those changing to commuter status, and others who have automatically converted to lawful permanent resident status. The form itself requires detailed personal information, including Alien Registration Number, current legal name, and biographic data, and it stipulates that applicants must fill it out in black ink. Applicants also have the opportunity to request accommodations for disabilities or impairments, ensuring the process is accessible to all. The completion and submission of this form are pivotal steps for permanent residents to maintain their status, highlighting the procedural and bureaucratic aspects of U.S. immigration policy.

QuestionAnswer
Form NameForm I 90
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namesi 90 form pdf, form i90 form, uscis i 90 print, i90

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Application to Replace Permanent Resident Card

USCIS

 

 

 

 

Department of Homeland Security

 

Form I-90

 

 

 

 

 

OMB No. 1615-0082

 

 

 

 

U.S. Citizenship and Immigration Services

 

Expires 07/31/2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Interviewed

Receipt

 

Action Block

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

For

Class of Admission

 

 

 

 

USCIS

 

 

 

 

 

 

 

Use

 

 

 

 

 

 

 

Only

Remarks

 

 

 

 

 

 

 

 

 

 

 

 

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.

Mailing Address

6.a. In Care Of Name

6.b. Street Number

and Name

6.c. Apt. Ste. Flr.

6.d. City or Town

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?

6.e. State

6.g. Province

6.h. Postal Code 6.i. Country

6.f. ZIP Code

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

No (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

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

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

Part 1. Information About You (continued)

Additional Information

8.

Gender

Male

Female

 

 

 

 

9.

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.

1.b.

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 the issuance of my existing card.

Part 3. Processing Information

Biographic Information

6.Ethnicity (Select only one box)

Hispanic or Latino

Not Hispanic or Latino

7.Race (Select all applicable boxes)

White

Asian

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

8.

Height

Feet

 

Inches

 

 

 

 

 

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

9.Weight

10.Eye Color (Select only one box)

Black

Blue

Gray

Green

Maroon

Pink

11.Hair Color (Select only one box)

Bald (No hair)

Black

Brown

Gray

Sandy

White

Pounds

Brown

Hazel

Unknown/Other

Blond

Red

Unknown/Other

3.a.1. Port-of-Entry where admitted to the United States:

City or Town and State

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

Yes No

5.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

No

 

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.

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.

1.Are you requesting an accommodation because of your

disabilities and/or impairments?

Yes

No

 

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:

 

 

 

 

 

 

 

 

Applicant's Contact Information

3.Applicant's Daytime Telephone Number

4.Applicant's Mobile Telephone Number (if any)

5.Applicant's Email Address (if any)

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.

2.

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

 

 

 

 

,

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

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; 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 interpreter.

Interpreter's Full Name

1.a. Interpreter's Family Name (Last Name)

1.b. Interpreter's Given Name (First Name)

2.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

4.Interpreter's Daytime Telephone Number

5.Interpreter's Mobile Telephone Number (if any)

6.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 provided 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 (sign in ink)

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)

2.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

4.Preparer's Daytime Telephone Number

5.Preparer's Mobile Telephone Number (if any)

6.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 (sign in ink)

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. Include 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.

5.a. Page Number 5.b. Part Number 5.c. Item Number

5.d.

Your Full Name

1.a.

Family Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Last Name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.b.

Given Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(First Name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.c.

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

A-Number (if any)

 

 

 

 

 

 

 

6.a. Page Number 6.b. Part Number 6.c. Item Number

 

 

 

A-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.d.

3.a.

Page Number 3.b. Part Number

3.c. Item Number

 

 

 

 

 

 

3.d.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.a. Page Number 7.b. Part Number 7.c. Item Number

 

 

 

 

 

 

 

 

 

 

 

 

4.a. Page Number 4.b. Part Number

4.c. Item Number

7.d.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.d.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form I-90 02/27/17 N

Page 7 of 7

How to Edit Form I 90 Online for Free

We have used the hard work of our best developers to design the PDF editor you can take advantage of. Our software will help you fill in the i 90 form 2021 document easily and don’t waste precious time. What you need to undertake is try out the following quick instructions.

Step 1: Click on the "Get Form Here" button.

Step 2: The document editing page is now available. You can add information or manage existing content.

The following parts are within the PDF form you'll be filling out.

portion of gaps in i 90 form pdf

The system will require you to submit the a Family Name Last Name b Given, Middle Name, e State, f ZIP Code, g Province, h Postal Code, i Country, Has your name legally changed, Yes Proceed to Item Numbers a c, Physical Address, No Proceed to Item Numbers a i, Provide this information only if, NA I never received my previous, a Street Number and Name, and Provide your name exactly as it is section.

a Family Name Last Name b Given, Middle Name, e State, f ZIP Code, g Province, h Postal Code, i Country, Has your name legally changed, Yes Proceed to Item Numbers a  c, Physical Address, No Proceed to Item Numbers a  i, Provide this information only if, NA  I never received my previous, a Street Number and Name, and Provide your name exactly as it is in i 90 form pdf

The system will ask for more details with the intention to quickly complete the box Part Information About You, Reason for Application Select only, Additional Information, Gender, Male, Female, Date of Birth, mmddyyyy, CityTownVillage of Birth, Country of Birth, Mothers Name, Given Name First Name, Fathers Name, Given Name First Name, and Section A To be used only by a.

part 3 to entering details in i 90 form pdf

The space Class of Admission, Date of Admission, mmddyyyy, US Social Security Number if any, Part Application Type, NOTE If your conditional permanent, My status is Select only one box, Lawful Permanent Resident Proceed, Permanent Resident In Commuter, Conditional Permanent Resident, I have reached my th birthday and, I have reached my th birthday and, NOTE If you are filing this, I am a permanent resident who is, and My PortofEntry POE into the United should be where you can indicate each side's rights and responsibilities.

part 4 to completing i 90 form pdf

Complete the document by taking a look at the next sections: Section B To be used only by a, Ethnicity Select only one box, My previous card has been lost, My previous card was issued but, My existing card has been mutilated, My existing card has incorrect, My name or other biographic, Part Processing Information, Hispanic or Latino Not Hispanic or, Race Select all applicable boxes, White Asian, Black or African American, American Indian or Alaska Native, Native Hawaiian or Other Pacific, and Height.

i 90 form pdf Section B To be used only by a, Ethnicity Select only one box, My previous card has been lost, My previous card was issued but, My existing card has been mutilated, My existing card has incorrect, My name or other biographic, Part  Processing Information, Hispanic or Latino Not Hispanic or, Race Select all applicable boxes, White Asian, Black or African American, American Indian or Alaska Native, Native Hawaiian or Other Pacific, and Height blanks to insert

Step 3: After you've selected the Done button, your file should be ready for upload to any electronic device or email address you identify.

Step 4: You can make duplicates of your form toavoid different possible problems. Don't be concerned, we don't disclose or record your information.

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