Application for Travel Document USCIS

Department of Homeland Security Form I-131

OMB No. 1615-0013
U.S. Citizenship and Immigration Services Expires 10/31/2025

Receipt Action Block

To Be Completed
For
by an Attorney/
USCIS
Representative,
Use
if any.
Only

Document Hand Delivered Fill in box if G-28 is

attached to represent
By: Date: / / / the applicant.
Document Issued
Re-entry Permit (Update Refugee Travel Document Attorney State
Mail To Address in Part 1
"Mail To" Section) (Update "Mail To" Section) License Number:
(Re-entry &
US Consulate at:
Single Advance Parole Multiple Advance Parole Refugee
Only) Intl DHS Ofc at:
Valid Until: / / /

► Start Here. Type or Print in Black Ink

Part 1. Information About You
1.a. Family Name Other Information
(Last Name)
1.b. Given Name 3. Alien Registration Number (A-Number)
(First Name)
► A-
1.c. Middle Name
4. Country of Birth
Physical Address (USPS ZIP Code Lookup)

2.a. In Care of Name

5. Country of Citizenship

2.b. Street Number

and Name 6. Class of Admission

2.c. Apt. Ste. Flr.

7. Gender Male Female
2.d. City or Town
8. Date of Birth (mm/dd/yyyy) ►
2.e. State 2.f. ZIP Code
9. U.S. Social Security Number (if any)
2.g. Postal Code
►
2.h. Province

2.i. Country

Form I-131 Edition 06/06/23 E Page 1 of 5

Part 2. Application Type
1.a. I am a permanent resident or conditional resident of 2.e. Country of Birth
the United States, and I am applying for a reentry
permit.
1.b. 2.f. Country of Citizenship
I now hold U.S. refugee or asylee status, and I am
applying for a Refugee Travel Document.
1.c. I am a permanent resident as a direct result of refugee
or asylee status, and I am applying for a Refugee 2.g. Daytime Phone Number ( ) -
Travel Document.
1.d. I am applying for an Advance Parole Document to Physical Address (If you checked box 1.f.)
allow me to return to the United States after
temporary foreign travel. 2.h. In Care of Name

1.e. I am outside the United States, and I am applying for

an Advance Parole Document. 2.i. Street Number
and Name
1.f. I am applying for an Advance Parole Document for a
person who is outside the United States. 2.j. Apt. Ste. Flr.

If you checked box "1.f." provide the following information 2.k. City or Town
about that person in 2.a. through 2.p.
2.l. State 2.m. ZIP Code
2.a. Family Name
(Last Name)
2.n. Postal Code
2.b. Given Name
(First Name)
2.o. Province
2.c. Middle Name
2.p. Country
2.d. Date of Birth (mm/dd/yyyy) ►

Part 3. Processing Information

1. Date of Intended Departure 4.a. Have you ever before been issued a reentry permit or
(mm/dd/yyyy) ► Refugee Travel Document? (If "Yes" give the following
information for the last document issued to you):
Yes No
2. Expected Length of Trip (in days)
4.b. Date Issued (mm/dd/yyyy) ►
3.a. Are you, or any person included in this application, now
in exclusion, deportation, removal, or rescission 4.c. Disposition (attached, lost, etc.):
proceedings? Yes No

3.b. If "Yes", Name of DHS office:

If you are applying for a non-DACA related Advance Parole Document, skip to Part 7; DACA recipients must complete Part 4
before skipping to Part 7.

Form I-131 Edition 06/06/23 E Page 2 of 5

Part 3. Processing Information (continued)
Where do you want this travel document sent? (Check one) 10.a. In Care of Name
5. To the U.S. address shown in Part 1 (2.a through
2.i.) of this form.
10.b. Street Number
6. To a U.S. Embassy or consulate at: and Name
10.c. Apt. Ste. Flr.
6.a. City or Town
10.d. City or Town
6.b. Country

7. To a DHS office overseas at: 10.e. State 10.f. ZIP Code

7.a. City or Town 10.g. Postal Code

7.b. Country 10.h. Province

If you checked "6" or "7", where should the notice to pick up 10.i. Country
the travel document be sent?
8. To the address shown in Part 2 (2.h. through 2.p.) 10.j. Daytime Phone Number ( ) -
of this form.
9. To the address shown in Part 3 (10.a. through 10.i.)
of this form.:

Part 4. Information About Your Proposed Travel

1.a. Purpose of trip. (If you need more space, continue on a 1.b. List the countries you intend to visit. (If you need more
separate sheet of paper.) space, continue on a separate sheet of paper.)

Part 5. Complete Only If Applying for a Re-entry Permit

Since becoming a permanent resident of the United States (or 2. Since you became a permanent resident of the United
during the past 5 years, whichever is less) how much total time States, have you ever filed a Federal income tax return as
have you spent outside the United States? a nonresident or failed to file a Federal income tax return
because you considered yourself to be a nonresident? (If
1.a. less than 6 months 1.d. 2 to 3 years
"Yes" give details on a separate sheet of paper.)
1.b. 6 months to 1 year 1.e. 3 to 4 years
1.c. 1 to 2 years 1.f. more than 4 years Yes No

Form I-131 Edition 06/06/23 E Page 3 of 5

Part 6. Complete Only If Applying for a Refugee Travel Document
1. Country from which you are a refugee or asylee: 3.c. Applied for and/or received any benefit from such country
(for example, health insurance benefits)?
Yes No
If you answer "Yes" to any of the following questions, you
must explain on a separate sheet of paper. Include your Since you were accorded refugee/asylee status, have you, by
Name and A-Number on the top of each sheet. any legal procedure or voluntary act:
2. Do you plan to travel to the country Yes No
named above? 4.a. Reacquired the nationality of the Yes No
country named above?
Since you were accorded refugee/asylee status, have you ever: 4.b. Acquired a new nationality? Yes No
3.a. Returned to the country named Yes No 4.c. Been granted refugee or asylee status Yes No
above? in any other country?

3.b. Applied for and/or obtained a national passport, passport

renewal, or entry permit of that country?
Yes No

Part 7. Complete Only If Applying for Advance Parole

On a separate sheet of paper, explain how you qualify for an 4.a. In Care of Name
Advance Parole Document, and what circumstances warrant
issuance of advance parole. Include copies of any documents
you wish considered. (See instructions.) 4.b. Street Number
and Name
1. How many trips do you intend to use this document?
4.c. Apt. Ste. Flr.
One Trip More than one trip

If the person intended to receive an Advance Parole Document 4.d. City or Town
is outside the United States, provide the location (City or Town
and Country) of the U.S. Embassy or consulate or the DHS 4.e. State 4.f. ZIP Code
overseas office that you want us to notify.
4.g. Postal Code
2.a. City or Town
4.h. Province

2.b. Country 4.i. Country

4.j. Daytime Phone Number ( ) -

If the travel document will be delivered to an overseas office,
where should the notice to pick up the document be sent?:
3. To the address shown in Part 2 (2.h. through 2.p.)
of this form.
4. To the address shown in Part 7 (4.a. through 4.i.)
of this form.

Part 8. Employment Authorization Document for New Period of Parole Under Operation Allies
Welcome
1. I am requesting an Employment Authorization Document
(EAD) upon approval of my new Operation Allies
Welcome (OAW) period of parole.
Yes No

Form I-131 Edition 06/06/23 E Page 4 of 5

Part 9. Signature of Applicant (Read the information on penalties in the Form instructions before completing
this Part.) If you are filing for a Re-entry Permit or Refugee Travel Document, you must be in the United States
to file this application.
1.a. I certify, under penalty of perjury under the laws of the 1.b. Date of Signature (mm/dd/yyyy) ►
United States of America, that this application and the
evidence submitted with it is all true and correct. I
authorize the release of any information from my records
2. Daytime Phone Number ( ) -

that U.S. Citizenship and Immigration Services needs

NOTE: If you do not completely fill out this form or fail to
to determine eligibility for the benefit I am seeking.
submit required documents listed in the instructions, your
Signature of Applicant application may be denied.

Part 10. Information About Person Who Prepared This Application, If Other Than the Applicant
NOTE: If you are an attorney or representative, you must Preparer's Contact Information
submit a completed Form G-28, Notice of Entry of Appearance
as Attorney or Accredited Representative, along with this 4. Preparer's Daytime Phone Number Extension
application. ( ) -
Preparer's Full Name
5. Preparer's E-mail Address (if any)
Provide the following information concerning the preparer:
1.a. Preparer's Family Name (Last Name)
Declaration
1.b. Preparer's Given Name (First Name) To be completed by all preparers, including attorneys and
authorized representatives: I declare that I prepared this benefit
request at the request of the applicant, that it is based on all the
2. Preparer's Business or Organization Name information of which I have knowledge, and that the
information is true to the best of my knowledge.

Preparer's Mailing Address 6.a. Signature

of Preparer
3.a. Street Number
and Name 6.b. Date of Signature (mm/dd/yyyy) ►
3.b. Apt. Ste. Flr.
NOTE: If you require more space to provide any additional
3.c. City or Town information, use a separate sheet of paper. You must include
your Name and A-Number on the top of each sheet.
3.d. State 3.e. ZIP Code

3.f. Postal Code

3.g. Province

3.h. Country

Form I-131 Edition 06/06/23 E Page 5 of 5