Application for Travel Document

• Legal Form Number: I-131
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-131 10/31/22 Page 1 of 5

For

USCIS

Use

Only

USCIS

Form I-131

OMB No. 1615-0013

Expires 10/31/2024

Application for Travel Document

Department of Homeland Security

U.S. Citizenship and Immigration Services

Part 1. Information About You

Start Here. Type or Print in Black Ink

►

3.

►A-

Alien Registration Number (A-Number)

1.b.

1.c.

2.a.

1.a. Family Name

(Last Name)

Given Name

(First Name)

Middle Name

Physical Address

In Care of Name

ZIP Code

2.f.

State

2.e.

City or Town2.d.

2.h.

2.i.

Province

Country

2.g. Postal Code

8. ►(mm/dd/yyyy)Date of Birth

Other Information

5. Country of Citizenship

4. Country of Birth

9. U.S. Social Security Number (if any)

►

Class of Admission6.

FemaleMaleGender7.

Street Number

and Name

2.b.

2.c. Apt. Flr.Ste.

Address in Part 1

US Consulate at:

Intl DHS Ofc at:

Action Block

Receipt

To Be Completed

by an Attorney/

Representative,

if any.

Fill in box if G-28 is

attached to represent

the applicant.

Attorney State

License Number:

By: Date: / / /

Document Hand Delivered

Document Issued

Re-entry Permit (Update

"Mail To" Section)

Multiple Advance Parole

Valid Until: / / /

Single Advance Parole

Refugee Travel Document

(Update "Mail To" Section) Mail To

(Re-entry &

Refugee

Only)

(USPS ZIP Code Lookup)