I-131A Form Table of Changes

TABLE OF CHANGES – Form

Form I-131A, Application for Travel Document (Carrier Documentation)

OMB Number: 1615-0135

Date 06/02/2020

Reason for Revision: Fee Rule

Project Phase: OMB Review

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
Page 1 To be completed by an attorney or accredited representative	[Page 1] To be completed by an attorney or accredited representative (if any). Select this box if Form G-28 or 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 (if any). Select this box if Form G-28 or G-28I is attached. Attorney State Bar Number (if applicable) Attorney or Accredited Representative USCIS Online Account Number (if any)
Pages 1-2, Part 1. Information About You	[Page 1] START HERE – Type or print in black ink. [New] Part 1. Information About You 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name 2. Has your name changed since the issuance of your last Permanent Resident Card (Form I-551)? Y/N … 7. USCIS Online Account Number (if any) 8. U.S. Social Security Number (if any) 10. Sex M/F …	[Page 1] START HERE – Type or print in black ink. Answer all questions fully and accurately.  If a question does not apply to you (for example, if you have never been married and the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise directed.  If your answer to a question which requires a numeric response is zero or none (for example, “How many children do you have?” or “How many times have you departed the United States?”), type or print “None” unless otherwise directed. Part 1. Information About You 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name 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 … 7. USCIS Online Account Number 8. U.S. Social Security Number 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 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, Record of 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
Page 6, Part 7. Additional Information	[Page 6] Part 7. 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. 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. 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name 2. A-Number (if any) 3.a. Page Number 3.b. Part Number 3.c. Item Number 3.d. [Fillable field] 4.a. Page Number 4.b. Part Number 4.c. Item Number 4.d. [Fillable field] 5.a. Page Number 5.b. Part Number 5.c. Item Number	[Page 6] Part 7. 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. 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. 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name 2. A-Number 3.a. Page Number 3.b. Part Number 3.c. Item Number 3.d. [Fillable field] 4.a. Page Number 4.b. Part Number 4.c. Item Number 4.d. [Fillable field] 5.a. Page Number 5.b. Part Number 5.c. Item Number

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