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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 ?Yes (Proceed to Item Numbers - )No (Proceed to Item Numbers - )N/A - I never received my previous card . (Proceed to Item Numbers - ) Number and Name Mailing In Care Of Name City or Code CodeClass of AdmissionApplicant InterviewedAction BlockReceiptDate:RemarksUSCIS Online Account Number2.

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

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