I-212 Frm Toc

I212-011-FRM-TOC-FinalFeeRule-PostG1056-07152020.docx

Application for Permission to Reapply for Admission into the United States after Deportation or Removal

I-212 FRM TOC

OMB: 1615-0018

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TABLE OF CHANGES – FORM

Form I-212, Application for Permission to Reapply for Admission Into the United States After Deportation or Removal

OMB Number: 1615-0018

Date 07/15/2020


Reason for Revision: Fee Rule

Project Phase: Post G-1056


  • Please note – all instances of “if any” and “if applicable have been removed from Form I-212.


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 06/30/2022

Edition Date 06/09/2020



Current Page Number and Section

Current Text

Proposed Text

Page 1

[Page 1]


To be completed by an Attorney or Accredited Representative (if any).

Select this box if Form G-28 or Form G-28I is attached.

Attorney State Bar Number (if applicable)

Attorney or Accredited Representative USCIS Online Account Number (if any)


[Page 1]


To be completed by an Attorney or Accredited Representative.

Select this box if Form G-28 or Form G-28I is attached.

Attorney State Bar Number

Attorney or Accredited Representative USCIS Online Account Number

Page 1-2,

Part 1. Information About You

[Page 1]



1. Alien Registration Number (A-Number) (if any)



5.a. In Care Of Name (if any)

5.b. Street Number and Name

5.c. Apt. Ste. Flr.

5.d. City or Town

5.e. State

5.f. ZIP Code

5.g. Province

5.h. Postal Code

5.i. Country



[Page 2]



8. U.S. Social Security Number (if any)


9. U.S. Online Account Number (if any)



18.a. USCIS Receipt Number (if any)

18.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)?

18.c. Date Filed (mm/dd/yyyy)



If you answered “No” provide the information requested in Item Numbers 20.a. – 20.c. about previously filed Forms I-601 (if any):


20.a. USCIS Receipt Number for Form I-601 (if any)

20.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)?

20.c. Date Filed (mm/dd/yyyy)


[Page 1]



1. Alien Registration Number (A-Number)




5.a. In Care Of Name

5.b. Street Number and Name

5.c. Apt. Ste. Flr.

5.d. City or Town

5.e. State

5.f. ZIP Code

5.g. Province

5.h. Postal Code

5.i. Country



[Page 2]



8. U.S. Social Security Number


9. U.S. Online Account Number



18.a. USCIS Receipt Number

18.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)?

18.c. Date Filed (mm/dd/yyyy)



If you answered “No” provide the information requested in Item Numbers 20.a. – 20.c. about previously filed Forms I-601:


20.a. USCIS Receipt Number for Form I-601


20.b. Where did you file your application (for example, “USCIS Office Name” or “Lockbox”)?

20.c. Date Filed (mm/dd/yyyy)


Page 4

Part 3. Reasons For Your Request For Permission to Reapply

[Page 4]



U.S. Citizen or Lawful Permanent Resident Family Members (if any)




[Page 4]



U.S. Citizen or Lawful Permanent Resident Family Members



Page 5-7,

Part 5. Additional Information if Filing with CBP

[Page 7]



30. A-Number (if any)



Information About Prior Marriages (if any)




[Page 7]



30. A-Number



Information About Prior Marriages


Page 11,

Part 9. Additional Information

[Page 11]



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. Type or print 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.



2. A-Number (if any)



[Page 11]



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. Type or print your name and A-Number 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.



2. A-Number








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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHallstrom, Samantha M
File Modified0000-00-00
File Created2021-01-13

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