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Form I-102: Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
DHS Form I-102 is used to request a new or replacement Nonimmigrant Arrival-Departure Document for those admitted at a port-of-entry; the form expires on 03/31/2027.
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USCIS Form I-102 - Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
DHS Form I-102 is used to request a new or replacement Nonimmigrant Arrival-Departure Document for those admitted at a port-of-entry; the form expires on 03/31/2027.
Risk Radar
Scan points- 1Do not use a stamped or typewritten name in place of your signature on Form I-102.
- 2Filing without providing a U.S. address on the application.
- 3Submitting a stamped or typewritten name instead of a proper signature.
- 4Not including copies (front and back) of required government-issued ID/evidence.
- 5Failing to provide an explanation in Part 7 if stateless.
Plain English
This form allows an individual to get a new or replacement document when their current one is lost, stolen, incorrect, or damaged. It covers documents like Form I-94 and Form I-95. Filing this requests the government to issue a fresh arrival/departure record for the filer.
Submission Date
- Filing date: The form must be filed when a document is lost, stolen, incorrect, or mutilated. If filing due to an address change for a non-U.S. citizen, the notification must occur within 10 days of moving from the previous residence.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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Glossary Terms
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What this form is for
- Use this form when you need a new or replacement Nonimmigrant Arrival-Departure Document (Form I-94, Form I-94W, or Form I-95) because it was lost, stolen, mutilated, or issued with incorrect information.
- Do not use this form if you are already able to obtain a paper version of your electronic Form I-94 directly from the CBP website at www.cbp.gov/i94.
- Check Form G-1055 instead when needing specific details regarding applicable fees for filing USCIS Form I-102.
Form selector
Use this form or another form?
Initial Admission, No Document Issued
Use this if you were admitted at a port-of-entry but were not issued an initial Form I-94, Form I-94W, or Form I-95.
✓ Check the specific admission details on your entry record.
Need Replacement/Initial Form I-94W (Specific Admission)
Use this if you need a replacement of Form I-94W or an initial Form I-94W, but only if admitted at a land border OR before 6/28/2010 at an airport/seaport.
✓ Verify your date and port of entry.
Need Correction on Issued Document
Use this when you need USCIS to correct inaccurate information already issued on your Form I-94, Form I-94W, or Form I-95.
✓ Ensure you attach the original document for correction.
Nonimmigrant Military Member (Initial Request)
Use this if you are a nonimmigrant military member and need an initial Form I-94, but contact your foreign commander first.
✓ Confirm filing instructions with your commander/designee.
Deadline or filing window
The filing is triggered when an arrival/departure document becomes lost, stolen, incorrect, or mutilated. There is no stated deadline for the initial filing date itself, but non-U.S. citizens must report a change of address within 10 days of moving.
Checklist
What you need before filling it out
Requesting Replacement/Initial Document
The specific document(s) being replaced (I-94, I-94W, or I-95) · Found on the form itself / Instruction Booklet
Correcting Inaccurate Information
Attached Form I-94/I-94W/I-95 + Signed Statement detailing required correction(s) + Evidence verifying validity of corrected info · Submitted with application
Interpreter Services (if applicable)
Interpreter's Certification, Signature, and Date of Signature on Page 3 · Form I-102 itself
Nonimmigrant Military Member Filing
Contact from foreign commander/designee for filing info · Instructions p.6
General Evidence Submission
All supporting documents listed in the "What Evidence Must You Submit" section of the instructions · Instruction Booklet sections
Before you submit
- 1Verify that you have a United States address listed on the application.
- 2Confirm all evidence and supporting documents are attached as required by the Instructions.
- 3If correcting information, attach your Form I-94/I-94W/I-95 alongside your signed statement.
- 4Ensure any interpreter services used have completed their certification section (Page 3).
- 5If filing for a military member, confirm you followed instructions from your foreign commander or designee.
- 6Check that the form is legible and submitted as a photocopy, fax, or scan of an original handwritten signature.
- 7Confirm that the document being requested is one of the following: Form I-94, Form I-94W, or Form I-95.
How to file this form
- 1Complete all required fields on USCIS Form I-102 (OMB No. 1615-0079).
- 2Attach all necessary evidence and supporting documents as detailed in the Instructions.
- 3If applicable, include a signed statement detailing any information correction needed for your document(s) and attach copies of those documents.
- 4Sign the application (or have it scanned/faxed with an original signature) and submit it to USCIS.
Known limitations
- 1The Form I-102 applies to replacement/initial documents for Form I-94, Form I-94W, Form I-95, and Nonimmigrant Visa Waiver Arrival/Departure Record.
- 2Filing is required if the applicant was admitted at a port-of-entry (POE) but was not issued an initial Form I-94, Form I-94W, or Form I-95.
- 3A U.S. citizen who was admitted at a POE may file this form for a replacement/new document.
- 4The application must be signed by the filer or their signing authority; USCIS will reject it if unsigned or the signature is invalid.
Field map
Compact field-by-field guide
Applicant Info
3 items
Your current legal name.
MM/DD/YYYY.
Alien Registration Number if previously assigned.
Details
1 items
The specific reason or legal basis for filing this form.
Evidence
1 items
List of documents supporting this application.
Signatures
2 items
Sign under penalty of perjury.
MM/DD/YYYY.
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Fillable formOpen in Editor->The current edition of USCIS Form I-102 reflects a revision date of 04/01/24, and the instructions are dated 07/18/2025.
What changed or needs a fresh check
- Edition date — confirm the revision date reads 04/01/24.
- Fee — check Form G-1055 for specific fee information applicable to this form.
- Mailing address — do not mail completed Form I-102 to the address listed on page 8 (1615-0079).
- Signature — confirm that a photocopy, fax, or scan of your original handwritten signature is acceptable for filing.
- Required Address — ensure you have a United States address when filing this application.
Quick Facts
Downloads
After you file
- 1Keep a copy of your completed Form I-102 after filing.
- 2Submit copies (front and back) of government-issued ID verifying legal name and date of birth with the application.
- 3Attach copies supporting the reason for filing; do not send originals unless instructed by USCIS.
- 4If moving, a non-U.S. citizen must notify USCIS of a new address within 10 days of moving from the previous residence.
Sources
- SRCInstructions p.1 — The purpose of Form I-102 is to request a new or replacement Nonimmigrant Arrival-Departure Document.
- SRCInstructions p.1 — You may file Form I-102 if you were admitted at a port-of-entry (POE) and were not issued an initial Form I-94, Form I-94W, or Form I-95.
- SRCInstructions p.1 — A stamped or typewritten name is not accepted in place of any signature on the application.
- SRCInstructions p.2 — When completing Form I-102, use black ink and print legibly.
- SRCInstructions p.3 — Item Number 15 requires indicating if the last entry was at a land border, airport, or seaport.
- SRCInstructions p.6 — Applicants must have a United States address to file this application.
- SRCInstructions p.8 — The form number is 1615-0079 and should not be mailed to that specific listed address.
Common confusion points
What is an A-Number?
It begins with an 'A' and can be found on correspondence received from DHS or USCIS.
→ If you do not have one, type or print 'N/A' in the designated spot.
When must I file Form I-102?
You must file if admitted at a POE but were not issued an initial I-94, I-94W, or I-95.
→ Review Part 1 of the form to confirm your entry circumstances.
What is the difference between A-Number and OAN?
The A-Number begins with 'A'; the OAN is a USCIS Online Account Number.
→ Check Item Numbers 2 (OAN) and the location where you list your A-Number on the form to confirm.
Can I file this form without an address?
No, the applicant must have a United States address to file Form I-102.
→ Ensure your mailing information is complete before submitting.
What if my name has two parts?
Provide both last names; only use a hyphen (-) between them if it is part of your legal last name.
→ Review Item 3.a. carefully when filling out the form.
Can a parent sign for me?
Yes, if you are under 14 years of age, your parent or legal guardian may sign on your behalf.
Workflow map
Related forms and next steps
Current
After
Often used with
⚠ If something goes wrong
- Address Change request is handled separately, but you must notify USCIS within 10 days of moving.
Questions about USCIS Form I-102
What is USCIS Form I-102 used for?
This form allows an individual to get a new or replacement document when their current one is lost, stolen, incorrect, or damaged. It covers documents like Form I-94 and Form I-95. Filing this requests the government to issue a fresh arrival/departure record for the filer.
Who must file USCIS Form I-102?
An individual must file USCIS Form I-102 if they were admitted at a port-of-entry (land, airport, or seaport) in the United States and either were not issued an initial document or need a replacement.
What information does USCIS Form I-102 require?
The form collects information such as your personal details (Items 1-4), citizenship status, U.S. Social Security Number (Item 11), and the date/place of last entry into the United States (Items 12-13). Part 5 gathers interpreter contact information if used.
When is USCIS Form I-102 due?
The form must be filed when a document is lost, stolen, incorrect, or mutilated. If filing due to an address change for a non-U.S. citizen, the notification must occur within 10 days of moving from the previous residence.
Where do I file USCIS Form I-102?
An applicant must have a United States address to file Form I-102. Do not mail the completed application to the specific address listed on the form; instead, visit www.uscis.gov/I-102 or use the Contact Center.
How do I complete USCIS Form I-102?
First, type or print all information legibly in black ink, using Part 7 for extra space if needed. Next, ensure you sign and date the application (Items 1-4). Finally, submit it with a copy of a government-issued ID and required initial evidence.
What happens if USCIS Form I-102 is filed incorrectly?
If USCIS accepts the request for adjudication but determines the signature is deficient, they may deny the request. If the application is not signed or the signature is invalid, it will be rejected (See 8 CFR 103.2(a)(7)(ii)(A)).
What is an A-Number?
It begins with an 'A' and can be found on correspondence received from DHS or USCIS. If you do not have one, type or print 'N/A' in the designated spot.
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