Form I-131 - Application For Travel Document
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3OMB No. 1615-0013; Expires 03/31/2012
Department of Homeland Security
I-131, Application for Travel Document
U. S. Citizenship and Immigration Services
DO NOT WRITE IN THIS BLOCK
FOR USCIS USE ONLY
(except G-28 block below)
Document Issued
Action Block
Receipt
Reentry Permit
Refugee Travel Document
Single Advance Parole
Multiple Advance Parole
Valid to:
If Reentry Permit or Refugee Travel
Document Hand Delivered
Document, mail to:
On
By
Address in Part 1
U.S. Embassy/consulate
To be completed by Attorney/Representative, if any.
at:
Attorney State License #
Overseas DHS office
Check box if G-28 is attached.
at:
Part 1.
Information About You
(Type or print in black ink)
1. A Number
2. Date of Birth (mm/dd/yyyy)
3. Class of Admission
4. Gender
Female
Male
5. Name (
)
(First)
(Middle)
Family name in capital letters
6. Address (Number and Street)
Apt. Number
City
Zip/Postal Code
Country
State or Province
7. Country of Birth
8. Country of Citizenship
9. Social Security # (if any)
Part 2.
Application Type
(Check one)
a.
I am a permanent resident or conditional resident of the United States, and I am applying for a reentry permit.
b.
I now hold U.S. refugee or asylee status, and I am applying for a Refugee Travel Document.
c.
I am a permanent resident as a direct result of refugee or asylee status, and I am applying for a Refugee Travel Document.
d.
I am applying for an advance parole document to allow me to return to the United States after temporary foreign travel.
e.
I am outside the United States, and I am applying for an Advance Parole Document.
f.
I am applying for an Advance Parole Document for a person who is outside the United States. If you checked box "f,"
provide the following information about that person:
1. Name (Family name in capital letters)
(First)
(Middle)
2. Date of Birth (mm/dd/yyyy)
3. Country of Birth
4. Country of Citizenship
5. Address (Number and Street)
Apt. #
Daytime Telephone #
(area/country code)
City
State or Province
Zip/Postal Code
Country
Form I-131 (Rev. 11/23/10)Y
American LegalNet, Inc.
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