If you're looking to travel within the United States, the I 94 Blank Form is something you'll need. This form is used to document your entry and exit from the country, and can be useful for a variety of purposes. Here's what you need to know about this form, and how to fill it out correctly.
You will find information regarding the type of form you intend to submit in the table. It will tell you how much time it should take to complete i 94 blank, exactly what fields you will need to fill in, and so forth.
| Question | Answer |
|---|---|
| Form Name | I 94 Blank |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | i 94 form pdf no download needed, how to fill in the i94, i 94 form pdf print, blank i 94 |
DEPARTMENT OF HOMELAND SECURITY |
OMB No. |
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U.S. Customs and Border Protection |
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Welcome to the United States
Instructions
This form must be completed by all persons except U.S. Citizens, returning resident aliens, aliens with immigrant visas, and Canadian Citizens visiting or in transit.
Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form.
This form is in two parts. Please complete both the Arrival Record (Items 1 through 17) and the Departure Record (Items 18 through 21).
When all items are completed, present this form to the CBP Officer.
Item 9 - If you are entering the United States by land, enter LAND in this space. If you are entering the United States by ship, enter SEA in this space.
5 U.S.C. § 552a(e)(3) Privacy Act Notice: Information collected on this form is required by Title 8 of the U.S. Code, including the INA (8 U.S.C. 1103, 1187), and 8 CFR 235.1, 264, and 1235.1. The purposes for this collection are to give the terms of admission and document the arrival and departure of nonimmigrant aliens to the U.S. The information solicited on this form may be made available to other government agencies for law enforcement purposes or to assist DHS in determining your admissibility. All nonimmigrant aliens seeking admission to the U.S., unless otherwise exempted, must provide this information. Failure to provide this information may deny you entry to the United States and result in your removal.
CBP Form
OMB No.
Arrival Record
Admission Number
000000000
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1. Family Name
2. First (Given) Name
3. Birth Date (DD/MM/YY)
4. Country of Citizenship
5. Sex (Male or Female)
6. Passport Issue Date (DD/MM/YY)
7. Passport Expiration Date (DD/MM/YY)
8. Passport Number
9. Airline and Flight Number
10. Country Where You Live
11. Country Where You Boarded
12. City Where Visa Was Issued
13. Date Issued (DD/MM/YY)
14.Address While in the United States (Number and Street)
15.City and State
16.Telephone Number in the U.S. Where You Can be Reached
17.Email Address
CBP Form
DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
OMB No.
Departure Record
Admission Number
000000000
00
18. Family Name
19. First (Given) Name
20. Birth Date (DD/MM/YY)
21. Country of Citizenship
CBP Form
See Other Side |
STAPLE HERE |
This Side For Government Use Only
Applicant’s Name
Date
Referred
212A
Primary Inspection
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Time |
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Insp. # |
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Reason Referred |
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PP |
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Visa |
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Parole |
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L/O |
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TWOV |
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Arial, Times
Other
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Secondary Inspection |
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End Secondary |
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Time |
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Insp. # |
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Disposition |
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22. |
Occupation |
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23. |
Waivers |
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24. CIS A Number |
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25. CIS FCO |
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A- |
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26. |
Petition Number |
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27. |
Program Number |
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28. |
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Bond |
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29. |
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Prospective Student |
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30. |
Itinerary/Comments |
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31. TWOV Ticket Number
Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number. The control number for this collection is
Warning A nonimmigrant who accepts unauthorized employment is subject to deportation.
Important Retain this permit in your possession; you must surrender it when you leave the U.S.
Failure to do so may delay your entry into the U.S. in the future.
You are authorized to stay in the U.S. only until the date written on this form. To remain past this date, without permission from Department of Homeland Security authorities, is a violation of the law.
Surrender this permit when you leave the U.S.:
-By sea or air, to the transportation line;
-Across the Canadian border, to a Canadian Official;
-Across the Mexican border, to a U.S. Official
Students planning to reenter the U.S. within 30 days to return to the same school, see
“Arrival-
Departure” on page 2 of Form
Record of Changes
Departure Record
Port:
Date:
Carrier:
Flight No./ Ship Name: