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I-131 (ILW.COM)

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The I-131 (ILW.COM) form is 3 pages long and contains:

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  • 43 check-boxes
  • 66 other fields

Country of origin: US
File type: PDF

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Check box if G-28 is attached.
On By
5. Name (Family name in capital letters)
City
Zip/Postal Code
State or Province
6. Address (Number and Street)
DO NOT WRITE IN THIS BLOCK FOR USCIS USE ONLY (except G-28 block below)
Receipt
Document Issued
Valid to:
Reentry Permit
Refugee Travel Document
Single Advance Parole
Multiple Advance Parole
If Reentry Permit or Refugee Travel
Document, mail to:
American embassy/consulate
at:
Overseas DHS office
Address in Part 1
at:
Document Hand Delivered
To be completed by Attorney/Representative, if any.
Attorney State License #
(First)
Country
I am a permanent resident or conditional resident of the United States and I am applying for a reentry permit.
a.
I now hold U.S. refugee or asylee status and I am applying for a refugee travel document.
I am a permanent resident as a direct result of refugee or asylee status and I am applying for a refugee travel document.
b.
c.
d.
e.
f.
I am applying for an advance parole document to allow me to return to the United States after temporary foreign travel.
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:
Part 2. Application type (check one).
1. Name (Family name in capital letters)
City
Zip/Postal Code
State or Province
5. Address (Number and Street)
(First)
(Middle)
Apt. #
Country
2. Date of Birth (mm/dd/yyyy)
3. Country of Birth
Form I-131 (Rev. 11/16/07)Y
Apt. #
1. A #
2. Date of Birth (mm/dd/yyyy)
3. Class of Admission
4. Gender
Male
Female
7. Country of Birth
9. Social Security # (if any.)
(Middle)
Action Block
I-131, Application for Travel Document
8. Country of Citizenship
4. Country of Citizenship
OMB No. 1615-0013; Expires 11/30/07
Daytime Telephone # (area/country code)
I am outside the United States and I am applying for an advance parole document.
Department of Homeland Security
U. S. Citizenship and Immigration Services
Part 4. Information about your proposed travel.
Form I-131 (Rev. 11/16/07)Y Page 2
Purpose of trip. If you need more room, continue on a seperate sheet(s) of paper.
Part 5. Complete only if applying for a reentry permit.
Part 6. Complete only if applying for a refugee travel document.
1. Country from which you are a refugee or asylee:
If you answer "Yes" to any of the following questions, you must explain on a separate sheet(s) of paper.
2. Do you plan to travel to the above named country?
less than six months
six months to one year
one to two years
two to three years
three to four years
more than four years
List the countries you intend to visit.
5. Where do you want this travel document sent? (Check one)
To the U.S. address shown in Part 1 on the first page of this form.
a.
To a DHS office overseas at:
b.
c.
City:
Country:
City:
Country:
Since you became a permanent resident of the United States, have you ever filed a federal income tax
return as a nonresident, or failed to file a federal income tax return because you considered yourself to be a
nonresident? (If "Yes," give details on a separate sheet(s) of paper.)
Since becoming a permanent resident of the United States (or during the
past five years, whichever is less) how much total time have you spent
outside the United States?
d. If you checked "b" or "c", where should the notice to pick up the travel document be sent?
To an American embassy or consulate at:
To the address shown in Part 2 on the first page of this form.
To the address shown below:
City
Zip/Postal Code
State or Province
Address (Number and Street)
Apt. #
Country
Daytime Telephone # (area/country code)
Part 3. Processing information.
1. Date of Intended Departure (mm/dd/yyyy)
2. Expected Length of Trip
If you are applying for an Advance Parole Document, skip to Part 7.
4. Have you ever before been issued a reentry permit or refugee travel?
Yes (Give the following information
No
for the last document issued to you):
Date Issued (mm/dd/yyyy):
Disposition (attached, lost, etc.):
No
Yes (Name of DHS office):
3. Are you, or any person included in this application, now in
exclusion, deportation, removal or recission proceedings?
No
Yes
Yes
No
Yes
No
Yes
No
Yes
No
4. Since you were accorded refugee/asylee status, have you, by any legal procedure or voluntary act:
Yes
No
Yes
No
3. Since you were accorded refugee/asylee status, have you ever:
No
Yes
a. returned to the above named country?
b. applied for and/or obtained a national passport, passport renewal or entry permit of that country?
c. applied for and/or received any benefit from such country (for example, health insurance benefits).
c. been granted refugee or asylee status in any other country?
b. acquired a new nationality?
a. reacquired the nationality of the above named country?
Form I-131 (Rev. 11/16/07)Y Page 3
I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with
it are all true and correct. I authorize the release of any information from my records that the U.S. Citizenship and Immigration
Services needs to determine eligibility for the benefit I am seeking.
Part 8. Signature.
Read the information on penalties in the instructions before completing this section. If you are filing
for a reentry permit or refugee travel document, you must be in the United States to file this application.
I declare that I prepared this application at the request of the applicant and it is based on all information of which I have knowledge.
Please Note: If you do not completely fill out this form or fail to submit required documents listed in the instructions, you may not
be found eligible for the requested document and this application may be denied.
Signature
Part 9. Signature of person preparing form, if other than the applicant. (Sign below.)
Date (mm/dd/yyyy)
Firm Name and Address
Signature
Print or Type Your Name
Daytime Telephone Number (with area code)
Daytime Telephone Number (with area code)
City
Zip/Postal Code
State or Province
Address (Number and Street)
Apt. #
Country
Daytime Telephone # (area/country code)
3. If the travel document will be delivered to an overseas office, where should the notice to pick up the document be sent:
To the address shown in Part 2 on the first page of this form.
To the address shown below:
Part 7. Complete only if applying for advance parole.
1. For how many trips do you intend to use this document?
One trip
More than one trip
2. If the person intended to receive an advance parole document is outside the United States, provide the location (city and country)
of the American embassy or consulate or the DHS overseas office that you want us to notify.
On a separate sheet(s) of paper, please explain how you qualify for an advance parole document and what circumstances warrant
issuance of advance parole. Include copies of any documents you wish considered. (See instructions.)
City
Country
Date (mm/dd/yyyy)
Fax Number (if any.)
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I-131 (ILW.COM)

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Completed 9 January 2021

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