Form I-102Application for Replacement/Initial Nonimmigrant Arrival-Departure Document

File this form with a USCIS lockbox. For more information on filing locations, see our Direct Filing Addresses for Form I-102 page.

If U.S. Customs and Border Protection (CBP) issued your Form I-94, Form I-94W, or Form 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 deferred inspection office to have the information corrected. For locations and hours of operation, visit the CBP’s website.

If you were admitted at an air or sea port of entry and received an electronic Form I-94, you should go to CBP’s Form I-94 webpage to get a paper version of your Form I-94, including a replacement Form I-94. Follow the instructions you received from CBP on how to do this.

Form I-94W for admissions at airports or seaports is only available if you were admitted on or before June 28, 2010.

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

Filing Tips: Review our Tips for Filing Forms by Mail page for information on how to ensure we will accept your form.

Don’t forget to sign your form. We will reject any unsigned form.

You can find the filing fee for Form I-102 by visiting our Fee Schedule page.

Please do not submit this checklist with your Form I-102. The checklist 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.

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 into English.

Did you provide the following?

If you were not issued a Form I-94 or Form I-94W, or if your Form I-94, Form I-94W, or Form I-95 is lost or was stolen, submit a 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, Form I-94W, or Form I-95, or your 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, Form I-94W, or Form I-95 was mutilated, attach the damaged form; and

If you need to replace your Form I-94, Form I-94W, or Form I-95 due to a USCIS error, attach your original form with a letter explaining the specific error and evidence verifying the correct information.