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Form I-90, Application to Replace Permanent Resident Card

form I-90 Edition 07/23/20 DRAFT NOT FOR PRODUCTION 07/29/2020 Page 1 of 7 For USCIS Use Only Application to Replace Permanent Resident Card Department of Homeland Security Citizenship and Immigration ServicesUSCIS form I-90 OMB No. 1615-0082 Expires 07/31/2022 START HERE - Type or print in black ink. Part 1. Information About YouAlien Registration Number (A-Number)Your Full NameNOTE: Your card will be issued in this Name (Last Name) Given Name (First Name) NameHas your name legally changed since the issuance of your Permanent Resident Card?

Form I-90 Edition 07/23/20 . DRAFT NOT FOR PRODUCTION 07/29/2020. Page 1 of 7. For USCIS Use Only. ... If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application. I certify, under penalty of perjury, that I provided or authorized ...

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