I-131A Form Table of Changes

I131A-FRM-TOC-2019FeeRule-10102019.docx

Application for Travel Document (Carrier Documentation)

I-131A Form Table of Changes

OMB: 1615-0135

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TABLE OF CHANGES – Form

Form I-131A, Application for Carrier Documentation

OMB Number: 1615-0135

10/10/2019


Reason for Revision: 2019 Fee Rule.


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 02/28/2021

Edition Date 2/13/2019



Current Page Number and Section

Current Text

Proposed Text

Pages 1-2,


Part 1. Information About You


[Page 1]



2. Has your name changed since the issuance of your last Permanent Resident Card (Form I-551)? Y/N






10. Sex M/F



[Page 1]



2. Has your name changed since the issuance of your last Permanent Resident Card (Form I-551), Advanced Parole Document, (Form I-512 or I-512L), or Employment Authorization Document with Travel Endorsement (I-766)? Y/N



10. Gender M/F



Page 2,


Part 2. Reason for Application


[Page 2]



1.c. My existing Permanent Resident Card has been mutilated


1.d. My existing Permanent Resident Card has already expired


[new]















1.e. Other (explain below):


[Page 2]



1.c. My existing Permanent Resident Card has been damaged


1.d. My existing Permanent Resident Card has already expired


1.e. My existing Advance Parole Document (Form I-512/Form I-512L) has been lost, stolen, or destroyed


1.f. My existing Advance Parole Document (Form I-512/Form I-512L) has been damaged


1.g. My existing Employment Authorization Document with travel endorsement (I-766) has been lost, stolen, or destroyed


1.h. My existing Employment Authorization Document with travel endorsement (I-766) has been damaged


1.i. Other (explain below):


Page 2,


Part 3. Processing Information


[Page 2]



[new]













3. Are you NOW, or were you EVER, in exclusion, deportation, removal, or rescission proceedings? Y/N


If you answered "Yes" to Item Number 3., provide details in the space provided in Part 7. Additional Information.


4. Since you were granted permanent residence, have you EVER filed Form I-407, Abandonment of Lawful Permanent Resident Status, or otherwise been judged to have abandoned your status? Y/N


If you answered "Yes" to Item Number 4., provide details in the space provided in Part 7. Additional Information.


5.a. Have you EVER been issued a Travel Document? Y/N



If you answered "Yes" to Item Number 5.a., answer Item Numbers 5.b. and 5.c. for the last document issued to you and provide additional details in the space provided in Part 7. Additional Information.


5.b. Date Issued (mm/dd/yyyy)


5.c. Disposition (attached, lost, etc.):


[Page 2]



3. Date of Expiration of Permanent Resident Card (mm/dd/yyyy)


4. Date of Expiration of Rentry Permit (if applicable) (mm/dd/yyyy)


5. Date of Expiration of Form I-512, I-512L, or I-766 (if applicable) (mm/dd/yyyy)


6. I-131 Receipt Number Associated With the Lost, Stolen or Damaged Form I-512, I-512L, I-766 if applicable


7. Are you NOW, or were you EVER, in exclusion, deportation, removal, or rescission proceedings? Y/N


If you answered "Yes" to Item Number 7., provide details in the space provided in Part 7. Additional Information.


8. If you are a lawful permanent resident, have you EVER filed Form I-407, Abandonment of Lawful Permanent Resident Status, or otherwise been judged to have abandoned your status? Y/N


If you answered "Yes" to Item Number 8., provide details in the space provided in Part 7. Additional Information.


9.a. If you are a lawful permanent resident, have you EVER issued a Carrier Document? Y/N


If you answered "Yes" to Item Number 9.a., answer Item Numbers 9.b. and 9.c. for the last document issued to you and provide additional details in the space provided in Part 7. Additional Information.


9.b. Date Issued (mm/dd/yyyy)


9.c. Disposition (attached, lost, etc.):


10. If you received an Advanced Parole Document or Employment Authorization Document with travel endorsement, was it ever revoked? Y/N


If you answered "Yes" to Item Number 10., answer Item Numbers 10.a. and 10.b. for the last document issued to you and provide additional details in the space provided in Part 7. Additional Information.


10.a. Date of Revocation (mm/dd/yyyy) 


10.b. Reason For Revocation



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMulvihill, Timothy R
File Modified0000-00-00
File Created2021-01-15

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