Application for Issuance or Replacement of Northern Mariana Card

OMB No. 1615-0042; Expires 11/30/2011

Instructions for Form I-777, Application for
Replacement of Northern Mariana Card

Department of Homeland Security
U.S. Citizenship and Immigration Services

Instructions
NOTE: Read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet of paper. Write your name and Alien Registration Number (A-Number), if any, at the top of each sheet and
indicate the number of the item to which the answer refers.

What Is the Purpose of This Form?

Step 1. Reason for Filing Form I-777

Form I-777 is used to apply for replacement of a Northern
Mariana Identification Card.

Listed below is information on each reason for filing Form
I-777. Check the box in Part 2 that matches your reason for
filing.

You will need to give us:
1. A completed and signed Form I-777; and
2. Evidence of eligibility Filing fee.

1. My Northern Mariana Card was lost or destroyed.
Check Box A. You must submit a written statement
explaining to the best of your ability when, how, and
where your card was lost or destroyed.

See Step 3 for specific filing instructions.

2. My Northern Mariana Card was stolen. Check Box B.
You must submit a certified copy of the police report.

When Should I Use This Form?

3. My Northern Mariana Card was damaged. Check Box
C. You must return the damaged card with this application.

During the 2-year period that ended July 1, 1990, USCIS
issued original Northern Mariana Identification Cards to
individuals who acquired U.S. citizenship through the
Covenant to Establish a Commonwealth of the Northern
Mariana Islands in Political Union with the United States
(Public Law 94-241). These cards remain valid as evidence of
U.S. citizenship. Although USCIS no longer issues these
cards, a citizen to whom a card was previously issued may use
this application to request replacement of a card that was lost,
stolen, or damaged.

How Do I File Form I-777?
A separate Form I-777 must be filed for each person seeking
an identification card. Follow the steps below to complete
your application:
Step 1 - Reason for Filing Form I-777
Step 2 - Fill Out Form I-777
Step 3 - Submit Your Application

Notice
USCIS wants to make sure that you receive the requested
benefit. To do this, we may ask for more evidence, interview
you, and/or conduct an investigation. If you give us false
documents, misrepresent facts, or otherwise engage in
fraud, USCIS will take appropriate action. This means we
will not only deny your application, you may lose current and
future immigration benefits. You may also face penalties,
including criminal and/or civil prosecution leading to fines
and/or imprisonment.

All applications must include a copy of an official identity
document showing a photo of the frontal view of your full
face, name, and date of birth. (Example: a valid government
issued driver's license, passport identity page, or any other
official identity document.) The copy must clearly show the
photo and identity information.

Step 2. Fill Out Form I-777
Type or print clearly in black ink, using capital letters. If an
item does not apply to you, write "N/A." If the answer is
none, write "NONE."
This form is divided into Parts 1 through 5. The following
information should help you fill out the form.
Part 1. Information About You (Person applying to
replace a Northern Mariana Card)
1. Family Name (Last name) - Give your legal name. If you
have two last names, include both and use a hyphen (-)
between the names, if appropriate.
2. Home Address - Give your physical street address. This
must include a street number and name or a rural route
number. Do not put a post office box (P.O. Box) number
here.
3. Mailing Address - Give your mailing address, if different
from your home address.

Form I-777 (Rev. 11/19/10) Y

4. Daytime Phone Number - Give a phone number where
you can be reached during the day.

B. If you live in the U.S. Virgin Islands, make it payable
to Commissioner of Finance of the Virgin Islands.

5. U.S. Social Security Number - If you do not have a U.S.
Social Security Number, leave this blank.

NOTE: Please spell out U.S. Department of Homeland
Security; do not use the initials "USDHS" or "DHS."

6. A Number - This is your immigration file number. If
you do not have an A-Number or do not know it, leave
this blank.

Notice to Those Making Payment by Check. If you send us
a check, it will be converted into an electronic funds transfer
(EFT). This means we will copy your check and use the
account information on it to electronically debit your account
for the amount of the check. The debit from your account will
usually take 24 hours, and will be shown on your regular
account statement.

Part 2. Requested Action
Place a check in the box that corresponds with your reason for
filing.
Part 3. Additional Information
Numbers 1 and 2 - Give the requested information.
Part 4. Signature
1. As the applicant, you must sign and date the application.
If you do not sign the application, the form will be
returned as incomplete.
2. A parent or legal guardian may sign the application on
behalf of a child under the age of 14 years.
Part 5. Signature of Person Preparing Form, if
Other Than Applicant
1. If you, the applicant, did not fill out Form I-777, the
preparer must also sign, date, and give his or her address.

Step 3. Submit Your Application
Your must include the following items:
1. Your signed and completed Form I-777; and
2. Filing fee. The filing fee for Form I-777 is $15.
Use the following guidelines when you prepare your check or
money order:
1. The check or money order must be drawn on a bank or
other financial institution located in the United States and
must be payable in U.S. currency; and
2. Make the check or money order payable to U.S.
Department of Homeland Security, unless:

You will not receive your original check back. We will
destroy your original check, but we will keep a copy of it. If
the EFT cannot be processed for technical reasons, you
authorize us to process the copy in place of your original
check. If the EFT cannot be completed because of insufficient
funds, we may try to make the transfer up to two times.
3. Evidence. Attach copies showing the front and back of
the documents you need to support your application. See
Step 1, Reason for Filing, for information on document
requirements. Do not send original documents unless
instructed to do so.
All applications must include a copy of an official photo
identity document showing a photo of the frontal view
of your full face, name, and date of birth. (Example: a
valid government issued driver's license, passport identity
page, or any other official identity document.) The copy
must clearly show the photo and identity information.
4. Translations. If you send us a document in a foreign
language, it must have a full English translation that the
translator has certified as complete and correct. The
translator must also certify that he or she is competent to
translate the foreign language into English.
5. Photos. You must submit two identical natural color
photographs of yourself taken within 30 days of this
application. The photos must have a white background, be
unmounted, printed on thin paper, and be glossy and
unretouched. The photo should be a full frontal passport
style photograph. The photos should be no larger than 2 x
2 inches, with the distance from the top of the head to just
below the chin about 1 and 1/4 inches. Using a pencil,
lightly print your A-Number on the back of each photo.
6. Submit your Form I-777

A. If you live in Guam, make it payable to Treasurer,
Guam.

Where you submit your form depends on where you live.

Form I-777 (Rev. 11/19/10) Y Page 2

If you currently live in the Commonwealth of the Northern
Mariana Islands, Guam, or elsewhere outside the United
States, you must mail this application to:
USCIS - Guam
Sirena Plaza, Suite 100
108 Hernan Cortez Avenue
Hagatna, GU 96910
If you currently live in Connecticut, Delaware, District of
Columbia, Maine, Maryland, Massachusetts, New Jersey,
New Hampshire, New York, Pennsylvania, Puerto Rico,
Rhode Island, Vermont, Virginia, West Virginia, or the
U.S. Virgin Islands, mail the application to:
USCIS - Vermont Service Center
75 Lower Welden Street
St. Albans, VT 05479-0001
If you currently live in Alabama, Arkansas, Florida,
Georgia, Kentucky, Louisiana, Mississippi, New Mexico,
North Carolina, Oklahoma, South Carolina, Tennessee, or
Texas, mail the application to:
USCIS - Texas Service Center
P.O. Box 851041
Mesquite, TX 75185-1041
If you currently live in Arizona, California, Hawaii, or
Nevada, mail the application to:
USCIS - California Service Center
P.O. Box 10765
Laguna Niguel, CA 92607-1076
If you currently live anywhere else in the United States,
mail the application to:
USCIS - Nebraska Service Center
P.O. Box 87765
Lincoln, NE 68501-7765

Processing Information
Our goal at USCIS is to process all applications fairly. The
processing time will vary, depending on the specific
circumstances of each case. We may reject an incomplete
application. We may deny your application if you do not give
us the requested information or you do not appear at your
scheduled interview.

Privacy Act Notice
USCIS will use the information on Form I-777 to determine
eligibility for the requested immigration benefit. We may
provide information on your application to other government
agencies.

Address Changes
If you change your address, you must fill out a Form AR-11,
Alien's Change of Address Card, and mail it to the office
where the Form I-777 was originally filed. Write "Form I-777"
in the lower left hand corner of the address side of the AR-11.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at
1-800-870-3676. You can also get USCIS forms and
information on immigration laws, regulations and procedures
by telephoning our National Customer Service Center at
1-800-375-5283 or visiting our Internet Web site at
www.uscis.gov.
As an alternative to waiting in line for assistance at your local
USCIS office, you can now schedule an appointment through
our Internet-based system, InfoPass. To access the system,
visit our Web site. Use the InfoPass appointment scheduler
and follow the screen prompts to set up your appointment.
InfoPass generates an electronic appointment notice that
appears on the screen.

Paperwork Reduction Act
An agency may not conduct or sponsor an information
collection and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 30 minutes per
response, including the time for reviewing instructions and
completing and submitting the form. Send comments
regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing
this burden, to: U.S. Citizenship and Immigration Services,
Regulatory Products Division, Office of the Executive
Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC
20529-2020. OMB No. 1615-0042. Do not mail your Form
I-777 to this address.

Form I-777 (Rev. 11/19/10) Y Page 3