I-102, Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
Use this form if you are a nonimmigrant and need to apply for a new or replacement Form I-94 or I-95, Nonimmigrant Arrival-Departure Document.
Number of Pages
Form 4; instructions 7.
10/19/17. You can find the edition date at the bottom of the page on the form and instructions.
Where to File
NOTE: If U.S. Customs and Border Protection (CBP) issued you Form I-94, I-94W, or I-95 with incorrect information (for example, a misspelled name, incorrect date of birth, visa classification, or date of admission), do not file Form I-102. You will need to go to the nearest CBP port of entry or the nearest CBP deferred inspection office in person, to have the information corrected. For locations and hours of operation visit the CBP’s website at cbp.gov.
If you were admitted at an air or sea port of entry and received an electronic Form I-94, you should go to the CBP website at cbp.gov/I94 to obtain a paper version of Form I-94, including replacement Forms I-94. Follow the instructions you received from CBP on how to do this.
File this form with a USCIS Lockbox facility. Important filing tips, as well as additional information on fees, are listed on our Lockbox Filing Tips webpage. See chart of filing locations on our Direct Filing Addresses for Form I-102, Application for Replacement/Initial Nonimmigrant Departure Document page.
E-Notification: If you want to receive an e-mail and/or a text message that your Form I-102 has been accepted at a USCIS Lockbox facility, complete Form G-1145, E-Notification of Application/Petition Acceptance and clip it to the first page of your application.
Filing Tips for Form I-102, Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
Complete all sections of the form. We will reject the form if these fields are missing:
Part 1. Information About You
- Family Name
- U.S. Mailing Address
- Date of Birth
- Part 2. Reason for Application
Don’t forget to sign your form! We will reject any unsigned form.
$445. You may pay the fee with a money order, personal check, or cashier’s check. When filing at a USCIS Lockbox facility, you may also pay by credit card using Form G-1450, Authorization for Credit Card Transactions. If you pay by check, you must make your check payable to the U.S. Department of Homeland Security. Please note that service centers are not able to process credit card payments.
You do not need to pay a fee to request a correction to your Form I-94, I-94W, or I-95 if USCIS made the error on your document through no fault of your own.
You do not need to pay the fee if you are a nonimmigrant military member in the U.S. armed forces, or you were participating in a North Atlantic Treaty Organization (NATO) or Partnership for Peace military program under the Status of Forces Agreement (SOFA), and you are requesting an initial Form I-94.
Checklist of Required Initial Evidence (for informational purposes only)
Please do not submit this checklist with your Form I-102. It is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements. We recommend that you review these requirements before completing and submitting your form. Do not send original documents unless specifically requested in the form instructions or applicable regulations. You may view the form instructions at uscis.gov/i-102.
If you submit any documents (copies or original documents, if requested) in a foreign language, you must include a full English translation along with a certification from the translator verifying that the translation is complete and accurate, and that they are competent to translate from the foreign language to English.
Did you provide the following?
If you were not issued a Form I-94, I-94W, or if your Form I-94, I-94W, or I-95 is lost or was stolen:
- Submit copy of the biographic page of your passport and a copy of the page indicating your admission as claimed, or other evidence of your identity or claimed admission.
- If your passport is unavailable, submit a letter explaining why
- If your Form I-94, I-94W, or I-95 and/or passport was stolen, submit a copy of the police report or a letter explaining why a police report is not available.
- If your Form I-94, I-94W, or I-95 was mutilated, attach the damaged form
- If you need to replace your Form I-94, I-94W, or I-95 due to a USCIS error, attach your original form with a letter explaining the specific error and evidence verifying the correct information.
NOTE: Your Form I-94 may be available online for free at cbp.gov/I94. Form I-94Ws for admissions at airports or seaports are only available if the admission occurred on or before June 28, 2010.